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  • 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.

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On February 14, 2011 NIHCM Foundation hosted a meeting of experts  in Washington, DC.

Risk adjustment will be a critical

mechanism for ensuring the stability of the new health insurance exchanges that will begin in 2014 and achieving the promise of health reform with respect to expanded access to insurance coverage.  Many decisions and activities will be needed,  however, between now and 2014 and even beyond in order to put an effective risk mitigation system into place, requiring close collaboration between federal and state policymakers, health insurers and other stakeholders.

 

This meeting brought together an outstanding group of 50 actuaries,  economists, federal and state policymakers, health plan representatives,  consultants and other stakeholders for a candid discussion of the challenges in developing and implementing risk adjustment under health reform and potential ways to address these challenges. Click here for meeting details.

 
1225 19th St. NW, Suite 710, Washington, DC 20036 · Tel: 202-296-4426 · Fax: 202-296-4319


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