1 financing health reform: many roads diverged in a yellow wood len nichols, ph.d. director, health...
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Financing Sources Tax increases Reducing tax expenditures “Captured” program savings from delivery system reformsTRANSCRIPT
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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 ReformJuly 13, 2009
Washington, DC
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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
Payment Reforms
Re-Align Incentives
Reduce Cost Growth
Fiscal and Economic
Sustainability
Health CEOs for Health Reform
Patricia GabowDenver Health
Nick WolterBillings Clinic
Lloyd DeanCHW
Gary KaplanVirginia Mason
Bruce BodakenBlue Shield, CA
Ken FrazierMerck
Tony TersigniAscension Health
Scott ArmstrongGroup Health
Donna Katen-BahenskyU Wisconsin Hospital +
6www.newamerica.net/files/DeliverySystemWhitePaper.pdf