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Major Stakeholders in Health Reform Debate Call for Improvements in Scoring of Congressional Health Care Proposals
Date:4/22/2009

in these problems has caused individual health costs to soar, undercut U.S. competitiveness and burdened the public health insurance infrastructure.

Spending on patients with one or more chronic diseases now represents more than 75 percent of total spending on health care in the U.S., and even more in public programs such as Medicare and Medicaid. Until we address the true causes of this crisis, we will never be able to slow spending or make health care more affordable. Nor we will have a workforce - or an economy - that can perform to its fullest potential.

The PFCD, a national and state-based coalition of hundreds of patient, provider, community, business and labor groups, is committed to raising awareness about this issue, while also providing commonsense, bipartisan solutions to help solve the problem. We believe that investing in prevention and disease management will save lives and money now and well into the future. Recognition of the opportunity to achieve the long-term benefits of investment in these areas would provide a positive framework for health policy decisions.

As our nation considers comprehensive health reform proposals, we hope that you will encourage the Congressional Budget Office to address barriers to recognizing the economic value of prevention and chronic disease management. There are three key points that lead to insufficient recognition of the opportunities offered by investments in prevention and disease management:

  • The current government scoring windows cannot sufficiently capture the long-term value of population health improvement programs aimed at wellness and prevention.
  • Health care expenditure estimates depend critically on the assumptions made in the baseline, including projected changes in the current health status of the population and the estimated impact of health status trends. Currently, these assumptions are not tran
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SOURCE Partnership to Fight Chronic Disease
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