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
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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
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Where the Health Care Research Dollar Goes
Federal Health Research by Type
Federal HSR Spending Compared to All Federal Health Research (in billions) 32
75%
20%
1.5
Federal Health Research Federal HSR
5%
Biomedical Clinical Health Services
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HSR Funding FY 2007
AHRQ $319 million
To evaluate $1.8 trillion health care system.
NIH CMS
NCHS
$954 million $58 million
$109 million
To translate $28 billion in basic and clinical research into practice. To evaluate $295 billion of Medicare spending.
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 Request
$329 million
$109 million
Coalition Minimum Target
Coalition Projected Need
$500 million
$150 million
AHRQ
NCHS
$319 million
$109 million
$350 million
$117 million
CDC’s Public Health Research
CMS
$31 million
$58 million $954 million
$31 million
$34 million $950 million
$33 million
$45 million $1,000 million
$50 million
$80 million $1,500 million
NIH 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
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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.
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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)
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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
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Questions?
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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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