1. Insure the Uninsured Project Annual Conference February 10, 2010 Elizabeth Imholz Special Projects Director Consumers Union

2. Health Care is Bankrupting... Families Employers Government Payers

3. National Health Spending 2009 $2.5 TRILLION (17.3% of the economy) 2019 $4.5 TRILLION (20% of the economy) ( Estimate without reform ) Source: Health Affairs online, published February 4, 2010 doi:10.1377/hlthaff.2009.1074 Expected growth: 6.1%, faster than the economy as a whole.

4. Reduce Errors and Hospital-Acquired Conditions (HACs) Transparency –Public disclosure of HAIs and other HACs Reduced Payments –No federal Medicaid payments to hospitals for high cost HACs (effective 2011) –Reduced Medicare payments to certain hospitals for HACs by 1% (effective 2015) –Reduced Medicare payments for preventable re-admissions (effective 2012) Value-based purchasing –Pay hospitals, nursing homes, ambulatory surgical facilities, based on quality measures

5. Pennsylvania (2006-07) 8% Reduction in Number of Hospital-Acquired Infections Infection Rate Per 1,000 Cases Number of Cases with a Hospital-Acquired Infection 200619.230,237 200717.727,949 Source: “Hospital-acquired Infections in Pennsylvania 2006-2007” Pennsylvania Health Care Cost Containment Council (Jan. 2009)

6. Comparative Effectiveness Research, Prevention and Reduced Overuse C.E.R. Patient-Centered Outcomes Research Prevention National strategy to improve nation’s health; sustained funding for Medicaid and private “qualified plans”; grants for community-based prevention services Reduced Overuse Coordinated care pilots; public disclosure of financial relationships between physicians, hospitals, pharmacists and manufacturers/distributors of drugs/devices.

7. Insure the Uninsured Project Annual Conference February 10, 2010 Elizabeth Imholz Special Projects Director Consumers Union