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Financing Health Reform: Many Roads Diverged in a Yellow Wood. Len Nichols, Ph.D. Director, Health Policy Program New America Foundation Alliance for Health Reform July 13, 2009 Washington, DC. Scope. We will spend $2.5T in health system in 2009 $873 federal
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Financing Health Reform: Many Roads Diverged in a Yellow Wood Len Nichols, Ph.D. Director, Health Policy Program New America Foundation Alliance for Health Reform July 13, 2009 Washington, DC
Scope • We will spend $2.5T in health system in 2009 • $873 federal • Covering all Americans will cost $125-175B per year • $1T 1.6T over 10 years • BIG picture Financing Sources • Why financing choices and success of reform are linked
Financing Sources • Tax increases • Reducing tax expenditures • “Captured” program savings from delivery system reforms
Virtuous Cycle of BIG Reform Coverage Expansion Fiscal and Economic Sustainability Payment Reforms Re-Align Incentives Reduce Cost Growth
Health CEOs for Health Reform Lloyd Dean CHW Patricia Gabow Denver Health Nick Wolter Billings Clinic Gary Kaplan Virginia Mason Ken Frazier Merck Scott Armstrong Group Health Bruce Bodaken Blue Shield, CA Tony Tersigni Ascension Health Donna Katen-Bahensky U Wisconsin Hospital +