Health affairs
-
Enactment of the federal stimulus and health reform legislation heralds the beginning of a national comparative effectiveness research program. This article suggests how the Department of Health and Human Services (HHS) can, with collaborators, build a high-performing comparative effectiveness research system. ⋯ A national database for effectiveness research studies should be established by presidential order. HHS will need to support all of these pieces and take the lead in creating a rapid-learning culture for the US health system.
-
This paper presents updated national health spending projections for 2009-2019 that take into account recent comprehensive health reform legislation and other relevant changes in law and regulations. Relative to our February 2010 projections under prior law, average annual growth in national health spending over the projection period is estimated to be 0.2 percentage point higher than our previous estimate. The health care share of gross domestic product (GDP) is expected to be 0.3 percentage point higher in 2019. Within these net overall impacts are larger differences for trends in spending and spending growth by payer, attributable to reform's many major changes to health care coverage and financing.