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

  • Private health insurance benefit spending is predicted to slow from a peak of 9.5% in 2001 to 4.7% in 2006, partially because of Medicare Part D.  
  • Spending $11,000 on general medical care adds an average of 1 year of life. Spending only $1,345 on pharmaceutical research and development yields the same return.  
  • According to the Pharmaceutical Research and Manufacturers of America, medical research could result in $149 billion in savings for government programs by 2025.  
  • Resonable disease prevention and management efforts could add $5.7 trillion to the nation’s economic output by 2050– a boost of 18%.  
  • The United States would have spent $634 billion less on health care in 2000 without many of the improvements in health and the associated investments that were seen between 1980…