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  • Another high-stakes challenge to the ACA is headed to the Supreme Court, and this time it’s a question of statutory interpretation: does the law as written permit tax credits to be issued in states that aren’t running their own exchanges?

  • We are pleased to announce a call for entries for the 21st Annual NIHCM Awards. Our awards program recognizes the critical role of researchers, journalists and bloggers in improving the health care system by rewarding outstanding work in these fields.

  • Washington, DC – December 11, 2014 – NIHCM Foundation is introducing a new Health Care Digital Media Award, which will recognize excellence in digital media that improves understanding of health care through analysis grounded in empirical evidence.

  • In a provocative recent essay for The Atlantic, Dr. Ezekiel Emanuel, an architect of the Affordable Care Act and a leading national expert on health policy, offered a deeply personal explanation for “Why I Hope to Die at 75.” 

  • 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.

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.

DB3-Figure1  DB3-Figure2  DB3-Figure3

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DB3-Figure7  DB3-Figure8  DB3-Figure9

DB3-Figure10

 
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