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Treatment of Severe Chronic Illness: What Explains Cost and Quality Variations? Should We Be Concerned?


Friday, September 08, 2006

Some Medicare beneficiaries receive significantly more hospital-based services during the last two years of life than do other beneficiaries. The number of physician visits for Medicare beneficiaries can also vary greatly. What accounts for this variation? Do patients receiving more services tend to get better care, or not? Should policymakers take steps to more closely examine the relationship between spending and the volume of services provided at different facilities?

To help address these and related questions, the Alliance for Health Reform, the National Institute for Health Care Management (NIHCM) and the Robert Wood Johnson Foundation sponsored a September 8 luncheon briefing. Panelists were: Elliott Fisher, co-principal investigator of the Dartmouth Atlas Project, which has been analyzing and publishing Medicare data on spending and services since 1992; Sam Nussbaum, executive vice president and chief medical officer of Wellpoint, Inc., which provides health insurance, primarily through Blue Cross and Blue Shield companies, to 34 million members in 14 states; and Barry Straube, chief medical officer at the Centers for Medicare and Medicaid Services. Nancy Chockley of NIHCM and Ed Howard of the Alliance moderated the discussion.

CONTACT: Anne Montgomery or  Bill Erwin 202/789-2300

Speakers

Elliott Fisher, Dartmouth Atlas Project, Speaker
Sam Nussbaum, Wellpoint Inc., Speaker
Barry Straube, CMS, Speaker
Nancy Chockley, NIHCM, Moderator

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Transcript: Treatment of Severe Chronic Illness (Adobe Acrobat PDF), 9/8/2006
Full Webcast/Podcast: Treatment of Chronic Illness

The transcript, full webcast and podcast for this briefing are provided by Kaiser Family Foundation.

Source Materials

Barry Straube Presentation (Adobe Acrobat PDF), , 9/8/2006
Elliot Fisher's Presentation (Adobe Acrobat PDF), , 9/8/2006
Sam Nussbuaum's Presentation (Adobe Acrobat PDF), , 9/8/2006
Source List: Treatment of Severe Chronic Illness (Word Document), Alliance for Health Reform, 9/8/2006

Offsite Materials (briefing documents saved on other websites)

Capturing Value: Increasing Efficiency in Health Care (Adobe Acrobat PDF),National Institute for Health Care Management, 3/1/2006
Expert Voices: More Care Is Not Better Care (Adobe Acrobat PDF),National Institute for Health Care Management, 1/1/2005
The National Institute for Health Care Management Research and Eductional Foundation, National Institute for Healthcare Management, 8/1/2006
The Care of Patients with Severe Chronic Illness (Adobe Acrobat PDF),Center for Evaluative Clinical Sciences, 5/1/2006

Photos

Elliott Fisher, co-principal investigator of the Dartmouth Atlas Project -- speaker at Sept. 8 briefing cosponsored by the Alliance, the National Institute for Health Care Management and the Robert Wood Johnson Foundation

Sam Nussbaum, executive vie president and chief medical officer of Wellpoint, Inc. -- speaker at Sept. 8 briefing cosponsored by the Alliance, the National Institute for Health Care Management and the Robert Wood Johnson Foundation.

Dr. Barry Straube, chief medical officer at the Centers for Medicare and Medicaid Services -- speaker at the Sept. 8 briefing cosponsored by the Alliance, the National Institute for Health Care Management and the Robert Wood Johnson Foundation.

Nancy Chockley, president and CEO of the National Institute of Health Care Management -- moderator at Sept. 8 briefing cosponsored by the Alliance, NIHCM and the Robert Wood Johnson Foundation.

 

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