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					      Meeting of
AcademyHealth Members
           Jeanne Lambrew, Ph.D.
Chair, Coalition for Health Services Research

                June 4, 2007
The Coalition for Health Services Research
 Mission to support research that unlocks
   the secrets of
    o Quality
    o Affordability
    o Accessibility
 Advocacy arm of AcademyHealth, making
  an impact through
    o Appropriations
    o Authorizations
                                             1
Where the Health Care Dollar Goes - 2003
Hospital Care – 30.8 cents
Physician & Clinical Services – 22 cents
Rx Drugs – 10.7 cents
Administrative – 7.1 cents
Nursing Home Care – 6.6 cents
Dental Services – 4.4 cents
Public Health – 3.2 cents
Other Medical Products – 3.1 cents
Other Professional Services – 2.9 cents
Other Personal Health Care – 2.9 cents
Home Health Care – 2.4 cents
Construction – 1.5 cents
Research – 2.3 cents
Health Services Research – 0.1 cents
TOTAL…………………….$1
Source: Health, United States, 2005 – National Center for Health Statistics
                                                                              2
Where the Health Care Research Dollar Goes
  Federal Health Research
                                Federal HSR Spending Compared to
          by Type                  All Federal Health Research
                                           (in billions)

75%                               32




                     20%
                                                  1.5

                            Federal Health   Federal HSR
              5%
                              Research
       Biomedical
       Clinical
       Health Services
                                                              3
HSR Funding FY 2007
AHRQ    $319 million   To evaluate $1.8 trillion health
                       care system.
NIH     $954 million   To translate $28 billion in basic
                       and clinical research into
                       practice.
CMS     $58 million    To evaluate $295 billion of
                       Medicare spending.
NCHS    $109 million   To gather data to help evaluate
                       $1.8 trillion health care system.

VHA     $64 million    To evaluate the $29 billion
                       veterans health system.
 HSR Funding FY 2008
      Agency       FY 2007       Bush FY08       Coalition        Coalition
                                  Request        Minimum          Projected
                                                  Target            Need
AHRQ              $319 million   $329 million   $350 million     $500 million

NCHS              $109 million   $109 million   $117 million     $150 million

CDC’s Public      $31 million    $31 million     $33 million      $50 million
Health Research
CMS               $58 million    $34 million     $45 million      $80 million

NIH               $954 million   $950 million   $1,000 million   $1,500 million

VHA               $64 million    $64 million     $68 million      $75 million
What Can You Do?
In future budget cycles:
 Contact Congressmen on Budget Committees in
House and Senate

Contact Congressmen on Labor, HHS, Education
Appropriations Subcommittees in House and
Senate

Urge them to support increased funding for
HSR
                                              6
Framework for HSR Policy (2007)
Fair and transparent access to information
The next generation of researchers
Advancement of scientific discovery and
expansion of knowledge
 Broad-based and adequate funding for
comparative effectiveness research
 Accountability through a Coordinating Council
for HSR                                         7
New Legislation Advancing Policy Priorities
Submitted proposed report language to House and
Senate Labor-HHS-Education Appropriations Bills
    oEncourages AHRQ to invest at least as much on an
    investigator-initiated research as it does on
    intramural HSR.
    oEmphasizes that funding earmarks and special
    projects should be limited.
Note: Report language is guidance; it does not carry force of law.

                                                                     8
New Legislation Advancing Policy Priorities


                        Enhanced Health Care
                       Value for All (H.R. 2184)
                       introduced by Reps. Tom
                       Allen (D-ME) and Jo Ann
                       Emerson (R-MO)



                                               9
New Legislation Advancing Policy Priorities
H.R. 2184 (cont.)
   oEstablishes a Comparative Effectiveness
   Advisory Board to govern research
   prioritization, conduct, and dissemination
   o“All payer” funding mechanism, phasing up
   to $3 billion over five years
   oEstablishes a Coordinating Council for HSR
                                                 10
Questions?




             11
Contact Us
For more information contact:

Emily Rowe
Director, Government Relations
(202) 292-6743 (voice)
(202) 292-6843 (fax)
emily.rowe@academyhealth.org

Visit our Web site:
www.chsr.org
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