BIG NUMBERS
Today, we spend $3.5 TRILLION on health care in the U.S. (www.healthafairs.org/do/10.1377/hblog20181206.671046/full/)
Health spending is expected to grow by 5.5% annually and reach $6 TRILLION BY 2027 (www.healthaffairs.org/doi/abs/10.1377/hlthaff.2018.05499)
DIGGING DEEPER
Researchers analyzed spending for 7 top diseases between 1995 & 2015 and the impact on patient health (www.npcnow.org/blog/study-finds-costs-dropped-outcomes-improved-major-causes-death-and-illness-between-1995-and)
What did they find?
Without adjustments for INFLATION and PREVALENCE, costs appear only to be RISING.
But with adjustments for INFLATION and PREVALENCE, patient costs FELL in several diseases & ROSE MODESTLY in others.
And health spending was associated with patient health improvements in 6 of 7 conditions.
|
Breast cancer |
Lung cancer |
Cerebrovascular disease |
Diabetes |
Chronic obstructive pulmonary disease |
HIV/AIDS |
Ischemic heart disease |
---|---|---|---|---|---|---|---|
Total costs |
551% |
24% |
121% |
543% |
165% |
220% |
143% |
20-year percent change per patient |
9.3% |
41.6% |
19.9% |
49.1% |
73.1% |
3.5% |
56.9% |
Improved health, in reduced disability- adjusted life years (DALYs) |
1.25 |
2.44 |
.47 |
.13 |
-.05 |
9 |
1.89 |
A CLEARER PICTURE
When researchers dug deeper and accounted for INFLATION, PREVALENCE and HEALTH OUTCOMES - Measured in disability-adjusted life years (DALYs) - a clearer picture of health spending in top conditions emerged:
Lower Spending, Improved Health
- Lung cancer
- Cerebrovascular disease
- Ischemic heart disease
- HIV/AIDS
Higher Spending, Improved Health
- Breast cancer
- Diabetes
Higher Spending, Poorer Health
- Chronic obstructive pulmonary disease
THE TAKEAWAY
Policies based on only aggregate health spending figures may mean the wrong areas of health spending are targeted.
Health spending data that:
- adjusts for increases in prevalence and inflation
- accounts for patient outcomes
will enable sound, disease-specific policy solutions that address health spending and improve outcomes for patients.
Go deeper on health spending by visiting GoingBelowTheSurface.org And visit npcnow.org for more.
Website: https://www.npcnow.org/
Twitter: @npcnow, https://twitter.com/npcnow
National Pharmaceutical Council
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