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  • 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.

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  • 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

The Concentration of Health Care Spending

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July 2012

Spending for health care in the U.S. is highly concentrated among a small subset of Americans. Just 5 percent of the population accounted for nearly half of all health care spending in 2009. Understanding these high-spenders is vital for developing strategies to reduce overall spending growth. In this data brief you will learn more about:

  • the characteristics and health conditions of the highest spenders,
  • the persistence of high spending patterns over time,
  • the challenges in targeting the most expensive cases for better care management, and
  • the implications of concentrated spending for risk-based payment and insurance market reforms.

This is the third in a series of NIHCM data briefs on U.S. health care spending.

Chart images:

Please feel free to use the charts from this brief with attribution to NIHCM Foundation in your slide presentations, blog posts, reports, etc. Click on the images below to download the full-scale .png files.

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