News & Events

  • One percent of the U.S. population accounts for nearly 23 percent of overall health care spending, and 5 percent are responsible for a full 50 percent of spending. In stark contrast, the lowest-spending half of the population generates less than 3 percent of total spending—or only about $234 per person, per year.

  • Improving health outcomes for our nation’s children requires coordinated care that promotes recommended health services, prevents unnecessary hospitalizations and bridges across the multiple systems serving children and families.

  • Washington, DC – November 11, 2014 - The National Institute for Health Care Management (NIHCM) Foundation has awarded four new grants totaling approximately $270,000 to support investigator-initiated health services research.

  • BlueCross BlueShield of Tennessee Health Foundation gives $1M to construct a neonatal abstinence syndrome treatment center. The Institute of Medicine and the National Research Council call attention to the surprisingly poor health profile of young adults.

  • Population aging and recent coverage expansions have fueled concerns about physician shortages in primary care, leading several influential groups to recommend that nurse practitioners take on a larger role.

  • 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.

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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