Silver Book Fact

Analysis of Medicare data on quality and costs of care for acute myocardial infarction (AMI), hip fracture, and colorectal cancer (with resection) reveals substantial variations in one-year, risk-adjusted mortality rates following the initial hospital admission and in resource use over the course of a year. The analysis used two indices to identify hospital regions in the top-performance quartile on both quality (annual mortality) and costs. If the United States as a whole were able to reach the level of higher survival and lower cost achieved by regions in the top quartile for both indices, the nation could save 8,400 lives and reduce annual Medicare spending by $900 million for the three conditions.

Schoen C, Davis K, How S, Schoenbaum S. U.S. Health System Performance: A national scorecard. Health Aff. 2006; 25(6): 457-475. https://www.healthaffairs.org/doi/10.1377/hlthaff.25.w457

Reference

Title
U.S. Health System Performance: A national scorecard
Publication
Health Aff
Publication Date
2006
Authors
Schoen C, Davis K, How S, Schoenbaum S
Volume & Issue
Volume 25, Issue 6
Pages
457-475
URL
Read Full Resource

Categories

  • Innovative Medical Research
  • Future Value

Related Facts

  • Medicare could save $26 billion per year if currently healthy older people were able to remain fully independent over the course of a single year.  
  • 2004 saw the sharpest drop in deaths in around 60 years – down almost 50,000 from 2003. The research team for “Death: Preliminary Data for 2004” from the National Center…  
  • If the major risk factors for chronic disease were eliminated, at least 80% of heart disease, stroke and type 2 diabetes would be prevented; and 40% of cancer would be…  
  • Delaying the onset of Alzheimer’s disease, innovations that delay disability among the elderly through 2009, and a 25% increase in efficiency and effectiveness of cancer treatment would save $138 billion…  
  • Improvements in preventing and managing chronic disease could reduce future economic costs in the United States by 27% ($1.1 trillion) in 2023. $905 billion would come from gains in productivity;…