TY - JOUR
T1 - Reduction in US health care spending required to meet the institute of medicine's 2030 target
AU - Mac McCullough, J.
AU - Speer, Matthew
AU - Magnan, Sanne
AU - Fielding, Jonathan E.
AU - Kindig, David
AU - Teutsch, Steven M.
N1 - Publisher Copyright:
© 2020 American Public Health Association Inc.. All rights reserved.
PY - 2020/12
Y1 - 2020/12
N2 - Objectives. To quantify changes in US health care spending required to reach parity with high-resource nations by 2030 or 2040 and identify historical precedents for these changes. Methods. We analyzed multiple sources of historical and projected spending from 1970 through 2040. Parity was defined as the Organisation for Economic Co-operation and Development (OECD) median or 90th percentile for per capita health care spending. Results. Sustained annual declines of 7.0% and 3.3% would be required to reach the median of other high-resource nations by 2030 and 2040, respectively (3.2% and 1.3% to reach the 90th percentile). Such declines do not have historical precedent among US states or OECD nations. Conclusions. Traditional approaches to reducing health care spending will not enable the United States to achieve parity with high-resource nations; strategies to eliminate waste and reduce the demand for health care are essential. Public Health Implications. Excess spending reduces the ability of the United States to meet critical public health needs and affects the country's economic competitiveness. Rising health care spending has been identified as a threat to the nation's health. Public health can add voices, leadership, and expertise for reversing this course.
AB - Objectives. To quantify changes in US health care spending required to reach parity with high-resource nations by 2030 or 2040 and identify historical precedents for these changes. Methods. We analyzed multiple sources of historical and projected spending from 1970 through 2040. Parity was defined as the Organisation for Economic Co-operation and Development (OECD) median or 90th percentile for per capita health care spending. Results. Sustained annual declines of 7.0% and 3.3% would be required to reach the median of other high-resource nations by 2030 and 2040, respectively (3.2% and 1.3% to reach the 90th percentile). Such declines do not have historical precedent among US states or OECD nations. Conclusions. Traditional approaches to reducing health care spending will not enable the United States to achieve parity with high-resource nations; strategies to eliminate waste and reduce the demand for health care are essential. Public Health Implications. Excess spending reduces the ability of the United States to meet critical public health needs and affects the country's economic competitiveness. Rising health care spending has been identified as a threat to the nation's health. Public health can add voices, leadership, and expertise for reversing this course.
UR - http://www.scopus.com/inward/record.url?scp=85096152307&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2020.305793
DO - 10.2105/AJPH.2020.305793
M3 - Article
C2 - 33058710
AN - SCOPUS:85096152307
SN - 0090-0036
VL - 110
SP - 1735
EP - 1740
JO - American Journal of Public Health
JF - American Journal of Public Health
IS - 12
ER -