News & Events

  • Most children’s health system experience is limited to the pediatrician’s office, but those with chronic or complex medical needs often deal with care that is fragmented, duplicative and crisis-driven. This leads to stress on families and wasteful utilization.

  • Just 5 percent of the population accounts for 50 percent of national health spending. Behind these numbers are patients and families struggling with multiple chronic conditions, physical and mental impairments, and tremendous stress.

  • Washington, DC – October 10, 2014 – NIHCM Foundation has awarded $215,000 to eight organizations through the first cycle of its new journalism grant program announced earlier this year.

  • The Relative Value Scale Update Committee (RUC)—a small panel of medical professionals whose recommendations have considerable influence over Medicare payment levels for their own services—has drawn quite of bit of political and media scrutiny recently.

  • More than 8 percent of two- to five-year-olds are obese, and another 23 percent are overweight and at substantial risk of becoming obese by the eighth grade. These early years are a critical time to focus on the development of healthy habits.

  • The annual cost of cancer care in the U.S. is large and growing—projected to hit $184 billion by 2020. This fiscal reality has spurred interest in bundled-payment models that reward providers for maintaining or improving clinical outcomes while controlling costs.

NIHCM

In anticipation of the Supreme Court ruling on the ACA, NIHCM Foundation is re-releasing a 2011 Expert Voices essay that describes the adverse selection death spiral that could result if the individual mandate is struck down and severed from the rest of the reform law.

Community Rating and Guaranteed Issue in the Individual Health Insurance Market by Dr. Anthony Lo Sasso examines data from states that adopted community rating and guaranteed issue requirements without mechanisms to keep lower risk individuals in the insurance risk pools. His analysis shows the adverse selection that arises in these circumstances, and he explains how this adverse selection can raise premiums, destabilize markets and even lead to market failure. Read more...

 
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