Geographic Variation in Health Care Spending: A Closer Look, TrendWatch, November 2009
Researchers have long documented variation in health care spending. Variation occurs across geographic areas and among providers, and even populations within a geographic area. Focus on geographic variation has intensified as policymakers struggle to identify strategies to contain costs. While the U.S. has regions with relatively high spending, there also are pockets of very low spending.
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Presentations from Topic Experts
Presentations from Annual Meeting Executive Briefing, Tuesday April 12, 2011
Variation in Health Care: More than Just Geography
Variation exists at all levels of the health care system. While current attention has focused on geographic variation in spending, hospital leaders have identified variation within their own hospitals and systems. In this annual meeting executive briefing, the leaders of three health care systems discussed how they are tackling the challenges associated with reducing variation in care practices within their own hospitals, health care systems and communities to improve the value of the health care they deliver.
- Robert Jesse, M.D., Ph.D., Principal Deputy Under Secretary for Health, Department of Veterans Affairs, Washington, DC
- Raj Behal, M.D., Associate Chief Medical Officer and Senior Quality and Patient Safety Officer at Rush University Medical Center, Chicago, IL
- Scott Malaney, President & CEO, Blanchard Valley Health System, Findlay, OH
Meeting of the Task Force on Variation in Health Care Spending, February 2010
- Elliott Fisher, MD, MPH, Professor of Medicine and Community and Family Medicine at Dartmouth Medical School, Director for Population Health and Policy and Director of the Center for Population Health at the Dartmouth Institute for Health Care Policy and Clinical Practice
- Brent James, MD, Chief Quality Officer and Executive Director, Institute for Health Care Delivery Research, Intermountain Healthcare
- J. Thomas Rosenthal, MD, Associate Vice Chancellor, David Geffen School of Medicine at UCLA, Chief Medical Officer, UCLA Healthcare, Professor of Urology
- Allan M. Korn, MD, Senior Vice President, Chief Medical Officer, Office of Clinical Affairs, BlueCross BlueShield Association
- John D. Birkmeyer, MD, George D. Zuidema Professor of Surgery and Chair of Outcomes Research, University of Michigan Health System
Meeting of the Task Force on Variation in Health Care Spending, November 2009
- Mark Miller, Executive Director, Medicare Payment Advisory Commission
- Carolyn Clancy, MD, Director, Agency for Healthcare Research and Quality
- Stuart Guterman, Assistant Vice President, Director, Program on Payment System Reform, Commonwealth Fund
- RADM Penelope Slade-Sawyer, P.T., M.S.W., Director, Office of Disease Prevention and Health Promotion Acting Director, President’s Council on Physician Fitness and Sports Office of the Secretary/Office of Public Health and Science, DHHS
Reports and Studies
- Determinants of Geographic Variation in Medicare Spending, April, 2010
A study by Partha Deb, Professor of Economics, Hunter College and the Graduate Center, City University of New York