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Congressional Budget Office

Congressional Budget Office. Presentation to the Alliance for Health Reform The Outlook for Health Care Spending January 28, 2008. Federal Spending Under CBO’s Alternative Fiscal Scenario. Percentage of Gross Domestic Product.

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Congressional Budget Office

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  1. Congressional Budget Office Presentation to the Alliance for Health Reform The Outlook for Health Care Spending January 28, 2008

  2. Federal Spending Under CBO’s AlternativeFiscal Scenario Percentage of Gross Domestic Product

  3. Federal Debt Held by the Public as a Percentage of Gross Domestic Product Under CBO’s Long-Term Budget Scenarios

  4. Federal Fiscal Imbalance Under CBO’s Long-Term Budget Scenarios Percentage of Gross Domestic Product

  5. Contribution of Aging to the Fiscal Gap Under CBO’s Alternative Fiscal Scenario Percentage of Gross Domestic Product

  6. Spending on Health Care as a Percentage of Gross Domestic Product Percent

  7. Excess Cost Growth in Medicare, Medicaid, and All Other Spending on Health Care Percentage Points

  8. Projected Spending on Health Care as a Percentage of Gross Domestic Product Percent

  9. Sources of Growth in Projected Federal Spending on Medicare and Medicaid Percentage of GDP

  10. $7,200 to 11,600 (74) 6,300 to < 6,800 (55) 4,500 to < 5,800 (72) 6,800 to < 7,200 (45) 5,800 to < 6,300 (60) Not Populated Medicare Spending per Capita in the United States, by Hospital Referral Region, 2003 Source: www.dartmouthatlas.org.

  11. The Relationship Between Quality and Medicare Spending, by State, 2004 Composite Measure of Quality of Care Source: Data from AHRQ and CMS.

  12. What Additional Services Are Provided in High-Spending Regions? Source: Elliot Fisher, Dartmouth Medical School.

  13. Variations Among Academic Medical Centers Use of Biologically Targeted Interventions and Care-Delivery Methods Among Three of U.S. News and World Report’s “Honor Roll” AMCs Source: Elliot Fisher, Dartmouth Medical School.

  14. Share of Personal Health Care Expenditures Paid Out of Pocket Percent

  15. Concentration of Total Annual Medicare Expenditures Among Beneficiaries, 2001 Percent Source: CBO based on data from CMS.

  16. CBO Health Activities • New Hires and Expanded Staffing • New deputy assistant director (Keith Fontenot) in the Budget Analysis Division • Health staff agency wide increase from 30 FTEs to 40 FTEs (Plus 6 new hires) • FY 2009 Plans • Reports and Analysis in 2008 • Critical Topics in Health Reform • Health Options

  17. Difference in Life Expectancy Between Lowest and Highest Economic Status Decile Source: Data from Singh and Siahpush 2006

  18. Increase in Life Expectancy and Increase in Difference in Life Expectancy by Economic Status Source: Data from Singh and Siahpush 2006 and CDC

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