Transcript Chartpack - The Commonwealth Fund

Figure 1. Rating the U.S. Health System
Scores on major dimensions of system performance
Long, Healthy & Productive Lives
69
Quality
71
Access
67
Efficiency
51
Equity
71
OVERALL SCORE
66
0
Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2006.
100
1
Figure 2. 47 Million People Were Uninsured in 2006,
an Increase of 8.6 Million Since 2000
Number of uninsured, in millions
60
40
38.4
39.8
2000
2001
42.0
43.4
43.5
44.8
2002
2003
2004
2005
47.0
20
0
Note: 2000–2006 estimates reflect the results of follow-up verification questions
and implementation of Census 2000-based population controls.
Source: U.S. Census Bureau, March Current Population Survey, 2000–2007.
2006
Figure 3. The Rate of Uninsured Nonelderly Adults
Rose from 17 Percent to 20 Percent in Six Years
1999–2000
2005–2006
WA
VT
NH ME
NH
WA
ND
MT
VT
MT
MN
OR
ID
NY
WI
SD
MI
WY
PA
IA
NE
CA
OH
IN
NV
UT
IL
CO
MA
KS
MO
WV
VA
KY
NJ
RI
CT
MN
OR
ID
MI
PA
IA
NE
CA
IL
CO
KS
MO
AZ
NM
MS
TX
AL
NC
AZ
GA
NM
OK
LA
TX
FL
AK
23% or more
19%–22.9%
AL
GA
LA
FL
HI
SC
AR
MS
AK
VA
TN
SC
AR
WV
KY
TN
OK
OH
IN
NV
UT
MA
NY
WI
SD
WY
DE
MD
DC
NC
ME
ND
HI
14%–18.9%
Less than 14%
Source: Commonwealth Fund State Scorecard on Health System Performance, 2007.
Updated data: Two-year averages 1999–2000, updated with 2007 CPS correction, and 2005–2006 from
the Census Bureau’s March 2000, 2001 and 2006, 2007 Current Population Surveys.
NJ
RI
CT
DE
MD
DC
Figure 4. Cumulative Changes in Annual
National Health Expenditures, 2000–2007
Percent
125
Net cost of private health insurance administration
100
Family private health insurance premiums
109%
Personal health care
91%
Workers earnings
75
65%
50
25
24%
0
2000
2001
2002
2003
2004
2005
2006*
2007*
Notes: Data on premium increases reflect the cost of health insurance premiums for a family of four/the average premium increase is weighted
by covered workers. * 2006 and 2007 private insurance administration and personal health care spending growth rates are projections.
Sources: A. Catlin, C. Cowan, S. Heffler et al., “National Health Spending in 2005: The Slowdown Continues,” Health Affairs, Jan./Feb. 2007
26(1):143–53; J. A. Poisal, C. Truffer, S. Smith et al., “Health Spending Projections Through 2016: Modest Changes Obscure Part D’s Impact,”
Health Affairs Web Exclusive (Feb. 21, 2007):w242–w253; Henry J. Kaiser Family Foundation/Health Research and Educational Trust,
Employer Health Benefits Annual Surveys, 2000–2007 (Washington, D.C.: KFF/HRET).
Figure 5. Growth in National Health Expenditures
Under Various Scenarios
National health expenditures (NHE), in trillions of dollars
4.25
4.00
3.75
3.50
Cumulative savings projections to 2016:
One-time savings of 5%: $1.56 trillion
Slowing trend by 1% annually: $1.72 trillion
Combination of one-time savings and
slowing trend: $3.19 trillion
$4.14 T (19.6% GDP)
$3.93 T (18.6% GDP)
$3.77 T (17.8% GDP)
$3.58 T (16.9% GDP)
3.25
3.00
2.75
2.50
2.25
2.00
$1.99 T
in 2005
Baseline NHE
One-time savings scenario
Slowing trend scenario
Reduced level & trend scenario
1.75
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Source: Authors’ analysis of data from J. A. Poisal, C. Truffer, S. Smith et al., “Health Spending Projections Through 2016:
Modest Changes Obscure Part D’s Impact,” Health Affairs Web Exclusive (Feb. 21, 2007):w242–w253.
5
Figure 6. Nine of 10 Americans Support
Well-Coordinated Care
Somewhat important
Very important
Percent
100
75
92
96
93
94
17
17
16
15
75
79
77
79
All of patient's
Patient has easy
50
25
0
One place/doctor is Care from different
responsible for
doctors is well-
doctors have easy
access to medical
coordinating care
coordinated
access to medical
records
records
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2006.
Figure 7. Where Is the U.S. on Health IT?
Only 28% of U.S. primary care physicians have electronic medical
records (EMRs), and only 19% have advanced IT capacity
Percent reporting seven or more
of 14 IT functions*
Percent reporting EMR
100
98
92
100
89
87
79
75
83
72
75
59
50
50
42
28
25
32
23
19
25
8
0
0
NET
NZ
UK
AUS
GER
US
CAN
NZ
UK
AUS
NET
GER
* The 14 functions are: EMR, EMR access other doctors, outside office, patient; routine use electronic ordering tests,
prescriptions, access test results, access hospital records; computer for reminders, Rx alerts, prompt test results;
easy to list diagnosis, medications, patients due for care.
Source: Commonwealth Fund 2006 International Health Policy Survey of Primary Care Physicians.
US
CAN
Figure 8. Aiming Higher: The National Committee
for Quality Assurance Experience
Beta-blocker treatment following heart attack
Percent of patients
100
80
60
90th percentile
Commercial mean
40
10th percentile
20
0
1996
1997
Avg. score = 71
(1996)
1998
1999
2000
2001
2002
2003
2004
2005
Avg. score = 97
(2005)
Source: National Committee for Quality Assurance, The State of Health Care Quality 2006 (Washington, D.C.: NCQA, 2006);
T. H. Lee, “Eulogy for a Quality Measure,” New England Journal of Medicine, Sept. 20, 2007 357(12):1175–77.
Figure 9. Health Policy Priorities for Congress,
According to Health Care Opinion Leaders
“How important do you think the following health care issues are
for Congress to address in the next five years?”
Top 10 Issues: Percent responding “absolutely essential” or “very important”
88%
Expand coverage for the uninsured
Enact reforms to moderate rising health care costs
81%
Reform Medicare to ensure its long-run solvency
80%
Increase use of IT to improve quality, safety of care
80%
Expand SCHIP to reach all uninsured children
76%
Ensure families don't pay excessive out-of-pocket
costs in relation to income
75%
Address shortage of trained health care
professionals
Control the rising cost of prescription drugs
70%
66%
Reform Medicare payment to reward performance
on quality, efficiency
64%
Reduce racial/ethnic disparities in care
64%
Note: Based on a list of 17 issues.
Source: The Commonwealth Fund Health Care Opinion Leaders Survey, Jan. 2007.