ARM Roundtable Technology and Rising Health Care Spending
Harold S. Luft, Chair Henry Aaron Mark Pauly Leighton Read Sean Tunis
Components of Per Capita Health Expenditure Growth, 1965-2004
16 14 12
Percent increase
10 8 6 4 2 0
19 68 19 71 19 74 19 77 19 80 19 83 19 86 19 89 19 92 19 95 19 98 20 01 20 04
Utilization & Intensity Medical Price Index Age-Sex Profile
Year
CMS: Office of the Actuary
Skinner, Staiger, and Fisher, “Is Technological Change in Medicine Always Worth It? The Case of Acute Myocardial Infarction” Health Affairs, 25(2006) w34-w47
Skinner, Staiger, and Fisher, “Is Technological Change in Medicine Always Worth It? The Case of Acute Myocardial Infarction” Health Affairs, 25(2006) w34-w47
Innovation Effects on Cost and Quality
Quality Reducing
Cost Reducing Politically Difficult Bad Idea
Quality Comparable
Attractive to Budgeters
Quality Improving Win-Win Attractive to Patients
Who Benefits? Who Pays?
Cost Comparable
Cost Increasing
How Well Are Each Measured?
Bad Idea, but Who Gains?
Terrible Idea