Sign Up for Email Alerts Visit us on Twitter Visit us on Facebook Visit us on YouTube Subscribe to RSS Feeds

Home > Past Briefings > Briefing Detail Page

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

Helping 125 Million Americans: Improving Care for Chronic Conditions

Friday, March 28, 2008

An estimated 125 million individuals in the United States have a chronic illness, disability or functional limitation. Chronic diseases are the number one cause of death and disability in the United States and account for three quarters of the nation’s health spending.

Nearly all of Medicare spending and more than 80 percent of Medicaid spending is attributable to chronic disease. But inadequate information technology, lack of integrated systems of care and financing mechanisms that do not promote care coordination are among the challenges that make chronic care costly and create barriers to ideal treatment.

What models for improving care coordination exist and how can they be more widely implemented? What role will IT play in improving treatment for chronic illnesses? What impact have new technologies had on treatment of chronic care? Is there evidence that improved treatment of chronic care can reduce costs? Or increase costs? This briefing, cosponsored with Novartis and the National Institute for Health Care Management, addresses these and related questions.


 Ed Howard, Alliance for Health Reform, Moderator
 David Cutler, Harvard University, Speaker
 Robert Greczyn, Blue Cross and Blue Shield of North Carolina, Speaker
 Kenneth Thorpe, Emory University & Partnership to Fight Chronic Disease, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Helping 125 Million Americans: Improving Care for Chronic Conditions (Adobe Acrobat PDF), 3/28/2008
Event Summary: Helping 125 Million Americans: Improving Care for Chronic Conditions (Word Document), 3/28/2008
Full Webcast/Podcast: Helping 125 Million Americans: Improving Care for Chronic Conditions

The transcript, full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Kenneth Thorpe Presentation (PowerPoint), 3/28/2008
David Cutler Presentation (PowerPoint), 3/28/2008

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Evidence for the Effect of Disease Management: Is $1 Billion a Year a Good Investment? (Adobe Acrobat PDF), American Journal of Managed Care, 12/1/2007
What is the Business Case for Improving Care for Patients with Complex Conditions? (Adobe Acrobat PDF), Journal of General Internal Medicine, 12/1/2007
Disease Management: Panacea, Another False Hope, or Something in Between? (Adobe Acrobat PDF), Annals of Family Medicine, 5/1/2007
Expert List (Adobe Acrobat PDF), Alliance for Health Reform, 3/28/2008
Speaker Biographies (Adobe Acrobat PDF), Alliance for Health Reform, 3/28/2008
Helping 125 Million Americans: Improving Care for Chronic Conditions (Word Document), Word Document, 3/28/2008

Offsite Materials (briefing documents saved on other websites)

Kenneth Thorpe Testimony before the House Appropriations Subcommittee on Labor, HHS... (Adobe Acrobat PDF),, 2/14/2008
An Unhealthy America: The Economic Burden of Chronic Disease (Adobe Acrobat PDF),Milken Institute, 10/1/2007
The Evaluation of the Medicare Coordinated Care Demonstration: Findings for the First Two Years (Adobe Acrobat PDF),Mathematica, 3/21/2007
Enhancing Value in Medicare: Chronic Care Initiatives To Improve the Program (Adobe Acrobat PDF),The Commonwealth Fund, 5/9/2007
Pennsylvania Prepares to Revamp Approach to Chronic Care, American Academy of Family Physicians, 2/20/2008
Prescription for Pennsylvania: Chronic Care Management Strategic Plan (Adobe Acrobat PDF),, 2/1/2008
Coordinating Care - A Perilous Journey through the Health Care System, New England Journal of Medicine, 3/6/2008
Does Preventive Care Save Money? Health Economics and the Presidential Candidates, New England Journal of Medicine, 2/14/2008


Kenneth Thorpe of the Partnership to Fight Chronic Disease offers six reasons why chronic disease management should be part of any health reform plan. From our March 28 briefing. If you'd like to follow Dr. Thorpe's PowerPoint slides while watching the video, download them first by clicking here.

Robert Greczyn of Blue Cross and Blue Shield of North Carolina discusses how insurers can help prevent chronic conditions. From our March 28 briefing.

David Cutler of Harvard explains why managing chronic disease properly makes a big difference in health outcomes. From our March 28 briefing. To follow Dr. Cutler's PowerPoint slides while watching the video, download them first by clicking here.


Briefing for Reporters on State Health Initiatives

A governor met with reporters Friday, February 19 to discuss the latest health care innovations and changes they are pursuing or implementing. Gov. Asa Hutchinson, R-Ark., discussed his experience with the state's program to move newly eligible Medicaid beneficiaries to qualified health plans, and his intentions for changes moving forward.

Read More

Health Care Consolidation: What You Need to Know

A recent whirlwind of mergers and acquisitions has thrown health care industry consolidation into the spotlight. In 2014 alone, there were 1,299 mergers and acquisitions in the health care sector at a value of $387 billion, a new record. In this roundtable for reporters, featuring a top FTC official and two experts, panelists discussed the drivers behind this recent trend; the scope and extent of consolidation among doctors, hospitals and insurers; implications for consumers and other stakeholders; and the roles of the Department of Justice (DOJ) and the Federal Trade Commission (FTC).

Click here for video
Click here for transcript

Read More 

New Toolkit on Health Care Consolidation

There were 1,299 mergers and acquisitions in the health care sector in 2014 at a value of $387 billion, both record highs. A new Alliance for Health Reform toolkit, “Health Care Consolidation,” looks at the drivers behind this trend, as well as implications for key players in the health care system and regulatory issues surrounding the issue.  Critics argue that consolidation could have a harmful impact on consumers, including higher costs, while others say some amount of activity is necessary to reshape the health care industry following changes implemented by the Affordable Care Act.

Read More 

What Tools do Patients Need? Video

What is the key to creating a more consumer-friendly and patient-centered health care system? Leading experts address challenges and potential solutions in a new Alliance video featuring Benjamin Moulton of the Informed Medical Decisions Foundation, Robin Gelburd of FAIR Health, and Tim Skeen Anthem.

Click here for video.

Read More 

Video from Reporter Roundtable on Open Enrollment III

On October 5, speakers at a reporter roundtable held at the National Press Club on open enrollment III provided the latest information about premium trends and drivers, health plan availability and new comparison tools for consumers to use in choosing health plans. They discussed trends in the role of navigators and brokers, and increasing consumer expectations, particularly around the ease of the process.

Click here for video.

Read More 

Toolkit on Connection Between Health and Housing

A new Alliance toolkit, “The Connection between Health and Housing: The Evidence and Policy Landscape,” provides a detailed look into federal, state and local initiatives, as well as cost implications for health and housing programs.

Attempts to tie health and housing policy are gaining momentum, amid evidence that housing, a social determinant of health, is an important factor in the health status of various populations. More than 610,000 people experience homelessness in the U.S., and over 250,000 individuals within that population have a severe mental illness or a chronic substance use disorder, according to the Department of Housing and Urban Development.

Read More 

Toolkit on Biosimilars

The Alliance for Health Reform has released a new toolkit, “Biosimilars: Unpacking Complex Issues.”

The Affordable Care Act created an expedited licensure pathway for biosimilars, and, in March 2015, the U.S. approved the first biosimilar, leaving policy makers, regulators, providers and stakeholders to grapple with regulatory and financial questions.

Biosimilars are similar – but not identical – to biologic drugs, and cost less. Unlike traditional pharmaceuticals, biologic drugs are derived from living organisms and tissues, making them more complex and expensive to produce.

Read More 

Experts Discuss Workplace Wellness Programs

In a new interview video, Karen Pollitz, senior fellow, private insurance and health reforms, The Kaiser Family Foundation and Dan Newton, vice president, product/solutions development and behavior economics, Anthem Care Management discuss the impact of workplace wellness programs. They address questions about regulations and program design and analyze the scope of wellness programs.

Read More 

Toolkit on Long-Term Services and Supports (LTSS)

The aging of the baby boomers and the increase in the number of old-old persons (those 85 and older) are predictors for the increasing need for long-term services and supports (LTSS). Among persons age 65 and over, an estimated 70 percent will use LTSS. A new Alliance for Health Reform toolkit, “Long-Term Services and Supports: Changes and Challenges in Financing and Delivery,” provides a background on LTSS and discusses policy issues surrounding the topic.

Read More 

Copyright 1997-2016 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      Sitemap