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  • Despite the potential consequences for babies, up to 10 percent of pregnant women opt to deliver through C-section or induction prior to 39 weeks gestation without medical indication. 

  • The CDC has declared adolescent vaccination against human papillomavirus (HPV) one of the top five public health priorities of 2014. Last month the President's Cancer Council also issued an urgent call to action to improve HPV vaccination rates.

  • Evidence has consistently shown that hospital consolidations are associated with higher prices, but preventing anti-competitive mergers has proven difficult.

  • For decades steady increases in lifestyle-related illnesses have affected our quality of life and our bottom line. With more than half of Americans now facing at least one chronic disease, the status quo is no longer acceptable. 

  • Health care is a uniquely challenging consumer experience: it can be complex and expensive but also vital and deeply personal. It’s no wonder that consumers are looking to technology to help simplify their health care choices—and businesses are increasingly meeting them with solutions.

  • Patient-centered care has at its base a very powerful concept: health care decisions should be driven by the preferences, needs and values of the patient. In this essay, Michael Millenson identifies three distinct ways of thinking about patient-centered care—ethically, economically and clinically.

NIHCM

Expert Voices: Scoring Health Legislation

Paul N. Van de Water, PhD, Senior Fellow, Center on Budget and Policy Priorities
 

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April 2009

The fate of legislative proposals in the U.S. Congress often hinges on how much they are estimated to increase or decrease the federal budget deficit. Currently, the Congressional Budget Office is responsible for developing these estimates – or “scores” – for all pending legislation, following rules and procedures established by Congress and the Administration. Yet these rules and their impact on the resulting budget estimates are often poorly understood. In this essay, Dr. Van de Water describes the basic elements of budget scoring, provides some cautionary comments on how the estimates should be used, and looks at the scoring issues likely to arise as health reform legislation is advanced and debated.

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