Meeting of AcademyHealth Members Jeanne Lambrew, Ph.D. Chair, Coalition for Health Services Research June 4, 2007.

Meeting of AcademyHealth

MembersJeanne Lambrew, Ph.D.

Chair, Coalition for Health Services Research

June 4, 2007

The Coalition for Health Services Research Mission to support research that

unlocks the secrets ofo Qualityo Affordabilityo Accessibility

Advocacy arm of AcademyHealth, making an impact through

o Appropriationso Authorizations

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Where the Health Care Dollar Goes - 2003Hospital Care – Hospital Care – 30.8 cents30.8 centsPhysician & Clinical Services – Physician & Clinical Services – 22 cents22 cents Rx Drugs – Rx Drugs – 10.7 cents10.7 centsAdministrative – Administrative – 7.1 cents7.1 centsNursing Home Care – Nursing Home Care – 6.6 cents6.6 centsDental Services – Dental Services – 4.4 cents4.4 centsPublic Health – Public Health – 3.2 cents3.2 centsOther Medical Products – Other Medical Products – 3.1 cents3.1 centsOther Professional Services – Other Professional Services – 2.9 cents2.9 centsOther Personal Health Care – Other Personal Health Care – 2.9 cents2.9 centsHome Health Care – Home Health Care – 2.4 cents2.4 centsConstruction – Construction – 1.5 cents1.5 cents Research – Research – 2.3 cents2.3 centsHealth Services Research – Health Services Research – 0.1 cents0.1 cents TOTAL…………………….$1TOTAL…………………….$1

Source: Health, United States, 2005 – National Center for Health Statistics

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Federal Health Research by Type

75%

20%

5%

BiomedicalClinicalHealth Services

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1.5

Federal HealthResearch

Federal HSR

Federal HSR Spending Compared to All Federal Health Research

(in billions)

Where the Health Care Research Dollar Goes

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HSR Funding FY 2007AHRQ $319 million To evaluate $1.8 trillion

health care system.

NIH $954 million To translate $28 billion in basic and clinical research into practice.

CMS $58 million To evaluate $295 billion of Medicare spending.

NCHS $109 million To gather data to help evaluate $1.8 trillion health care system.

VHA $64 million To evaluate the $29 billion veterans health system.

HSR Funding FY 2008Agency FY 2007 Bush

FY08 Request

Coalition Minimum

Target

Coalition Projected

Need

AHRQ $319 million

$329 million $350 million

$500 million

NCHS $109 million

$109 million $117 million $150 million

CDC’s Public Health Research

$31 million

$31 million $33 million $50 million

CMS $58 million

$34 million $45 million $80 million

NIH $954 million

$950 million $1,000 million

$1,500 million

VHA $64 million

$64 million $68 million $75 million

What Can You Do?

Contact Congressmen on Budget Committees in House and Senate

Contact Congressmen on Labor, HHS, Education Appropriations Subcommittees in House and Senate

Urge them to support increased funding for HSR

In future budget cycles:

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Framework for HSR Policy (2007)

Fair and transparent access to information

The next generation of researchers

Advancement of scientific discovery and expansion of knowledge

Broad-based and adequate funding for comparative effectiveness research

Accountability through a Coordinating Council for HSR 7

New Legislation Advancing Policy PrioritiesSubmitted proposed report language to House and Senate Labor-HHS-Education Appropriations Bills

oEncourages AHRQ to invest at least as much on an investigator-initiated research as it does on intramural HSR.

oEmphasizes that funding earmarks and special projects should be limited.

Note: Report language is guidance; it does not carry force of law. 8

Enhanced Health Care Value for All (H.R. 2184) introduced by Reps. Tom Allen (D-ME) and Jo Ann Emerson (R-MO)

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New Legislation Advancing Policy Priorities

New Legislation Advancing Policy Priorities H.R. 2184 (cont.)

oEstablishes a Comparative Effectiveness Advisory Board to govern research prioritization, conduct, and dissemination

o“All payer” funding mechanism, phasing up to $3 billion over five years

oEstablishes a Coordinating Council for HSR 10

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Questions?

Contact Us

For more information contact:

Emily RoweDirector, Government Relations(202) 292-6743 (voice)(202) 292-6843 (fax)[email protected]

Visit our Web site:www.chsr.org

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