Healthcare spending will make up 20% of U.S. economy within a decade

http://www.fiercehealthcare.com/finance/healthcare-spending-will-make-up-20-u-s-economy-within-a-decade?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiTXpVMk1HRm1NRE5pWW1JMSIsInQiOiIrM3BwTVBRRXorTzl3NjQxOWNPOUh1UUxUT0ZcL2xNTGdleWQzKzRFRzIwZzhHYTg2T0c3TWlZV1BjUEsxd0JBRmNJaGk0WU9NMTRvWmFyZndPVit2SzZmUDFxM1dWSm1OV2l4Rnd1YlBMWTQ9In0%3D

Bar graph with arrow showing upward growth

Healthcare spending will comprise 20 percent of the U.S. economy by the middle of next decade, according to new data from the Office of the Actuary of the Centers for Medicare & Medicaid Services and published in Health Affairs.

Expenditures on healthcare services will grow at an average rate of 5.8 percent per year between 2015 and 2025, about 1.3 percent higher than projected annual growth in the U.S. gross domestic product, CMS concluded. By 2025, healthcare spending will comprise 20.1 percent of the U.S. economy, up from 17.5 percent in 2014. Expenditures totaled $3.2 trillion last year.

Despite the seemingly robust spending growth, it remains lower than the 8 percent annual growth clip that occurred in the two decades before the Great Recession of 2008, which helped to slow expenditures significantly. In 2015, spending grew at a 5.5 percent rate. This year, it is projected to be 4.8 percent, attributable in part to the slower expansion of newly insured under the Affordable Care Act.

“The Affordable Care Act continues to help keep overall health spending growth at a modest level and at a lower growth rate than the previous two decades. This progress is occurring while also helping more Americans get coverage, often for the first time,” said CMS Acting Administrator Andy Slavitt in a statement.

Soda Taxes: Gaining Steam Or Getting Steamrolled?

Soda Taxes: Gaining Steam Or Getting Steamrolled?

Macro view of color drink tin cans with cola soda beverage with selective focus effect

http://ww2.kqed.org/stateofhealth/2016/07/14/oakland-soda-tax-backers-to-file-complaint-over-opposition-ads/?utm_campaign=CHL%3A+Daily+Edition&utm_source=hs_email&utm_medium=email&utm_content=31710992&_hsenc=p2ANqtz-8u9PBuYq77MsciYJVSPmpHC86UBJ4skTmeQ1Otc7233BOVF_wbUrWLg6e_k5Cfaj4UlRFiRCuGFUxAlLg-AP2DbyTVAg&_hsmi=31710992

Advocates of taxing these drinks say that they contribute to high rates of obesity and diabetes, and that putting a bigger price tag on them can reduce consumption and improve people’s health. Critics argue the taxes are unpopular and that it is discriminatory to single out one item in the grocery cart.

The American Beverage Association, one of the staunchest opponents of soda taxes, has funded successful opposition campaigns throughout the United States, including in California.

 

Few Young Doctors Are Training To Care For U.S. Elderly

http://www.healthleadersmedia.com/physician-leaders/few-young-doctors-are-training-care-us-elderly?spMailingID=9208161&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=961199903&spReportId=OTYxMTk5OTAzS0#

“With the growing elderly population across America and West Virginia, obviously we need healthcare providers,” Goldberg said. That includes geriatricians — physicians who specialize in the treatment of adults age 65 and older — as well as nurses, physical therapists and psychologists who know how to care for this population.

“The current workforce is inadequately trained and inadequately prepared to deal with what’s been called the silver tsunami — a tidal wave of elderly people — increasing in the population in West Virginia, across America and across the world really,” Goldberg said.

The deficit of properly trained physicians is expected to get worse. By 2030, one in five Americans will be eligible for Medicare, the government health insurance for those 65 and older.

Reflections on 17 Years in California Health Policy

http://www.chcf.org/articles/2016/07/reflections-17-years?_cldee=aGVucnlrb3R1bGFAeWFob28uY29t

California Health Care Foundation - Health Care That Works for All Californians

California’s individual health insurance marketplace today bears little resemblance to that of the mid-2000s. Since 2014 Californians have been able to purchase individual coverage without regard to their medical history. They can switch plans and carriers during annual open enrollment periods. Consumers face strong incentives to obtain coverage: They incur tax penalties if they remain uninsured, and all who are lawfully present and meet income standards are eligible for subsidies through Covered California. As a result, a greater share of Californians is now covered through the individual market than is uninsured (14% versus 11%, according to one national survey). While affordability concerns remain, early data show that Californians who bought insurance through the individual market spent significantly less than those buying before the ACA. And the percentage of Californians with individual coverage spending more than 10% of their household income on health care costs also went down.

Drop in Percentage of Physicians Participating in Medi-Cal Raises Red Flags

http://www.chcf.org/aca-411/insights/physician-participation?_cldee=aGVucnlrb3R1bGFAeWFob28uY29t

Physician Participation in Medi-Cal from 2013 to 2015

The share of physicians accepting new Medi-Cal patients is an indicator of the program’s capacity to meet demand. If a decreasing share of participating physicians are willing or able to take new Medi-Cal patients, beneficiaries in the program may have trouble getting the care they need. The proportion of physicians accepting new Medi-Cal patients has historically lagged behind the proportion accepting new patients covered by Medicare, which has a higher reimbursement rate, as well as behind the proportion accepting new patients with private health insurance.

New 2015 data now available on ACA 411 show the percentage of physicians participating in Medi-Cal has declined since 2013 — during the same period Medi-Cal enrollment skyrocketed by 39%. This raises serious concerns about whether the supply of physicians participating in Medi-Cal can meet the increased demand.

Physicians’ willingness to treat Medi-Cal beneficiaries is critical to ensuring Medi-Cal enrollees have adequate access to care. Without a sufficient number of doctors serving Medi-Cal beneficiaries, Medi-Cal enrollees may not be able to receive care in a timely manner. Beneficiaries may delay seeking needed care with disastrous effects or may end up receiving care in more costly settings.

 

Balancing the Books: How Affordable Is Health Insurance Through Covered California When Local Cost of Living Is Taken Into Account?

Click to access PDF%20BalancingAffordableCoveredCa.pdf

http://www.chcf.org/publications/2016/06/balancing-affordable-covered-ca?_cldee=aGVucnlrb3R1bGFAeWFob28uY29t

Subsidies offered through the health insurance marketplaces established under the Affordable Care Act (ACA) have reduced the cost of health insurance for millions of Californians. Subsidy amounts, however, are set nationally and do not take into account the local cost of living, which varies dramatically across the state.

Even with the help of subsidies, many Californians struggle to afford coverage through Covered California, the state’s health insurance marketplace, especially those living in areas where a high cost of living already strains household budgets.

In this analysis, researchers identified an affordability threshold — the minimum amount a typical household would need to earn to have sufficient funds to cover their basic needs and Covered California premiums and out-of-pocket costs after federal subsidies.

The affordability threshold varied widely by county, mostly due to the local cost of living, but in every county it fell above the maximum income to qualify for Medi-Cal as an adult (138% of the federal poverty level or $33,543 for a family of four or $16,395 for one person). This suggests that in every California county, there are families and individuals — specifically those earning above 138% of FPL and below the local affordability threshold — who are falling into an affordability gap. They earn too much for Medi-Cal but not enough to afford health insurance through Covered California, even with subsidies.

 

New Health System Scorecard Finds Improvement in Most U.S. Communities Since ACA Took Effect

http://www.commonwealthfund.org/interactives/2016/jul/local-scorecard/?omnicid=EALERT1064693&mid=henrykotula@yahoo.com

Many U.S. communities saw gains in their health and health care between 2011 and 2014, but wide variation in progress indicates there is room for improvement across the country, The Commonwealth Fund’s newly updated Scorecard on Local Health System Performance finds.

Those areas of the U.S. that improved did so largely because more people had insurance coverage and could afford to get the care they needed, and because health care providers performed better on quality and efficiency measures—such as limiting hospital readmissions. The Affordable Care Act (ACA) has contributed to many of these improvements, the researchers say.

Still, the analysis of 306 U.S. local areas on health care access, quality, avoidable hospital use, costs of care, and health outcomes shows that while care improved more than it worsened in nearly all communities, the gains were often modest. Among the more worrisome trends are the rise in obesity rates in more than 100 areas and the stagnation in preventable death rates nearly everywhere.

The Commonwealth Fund’s interactive scorecard features data visualizations, an online tool enabling comparisons of U.S. communities, and complete area-by-area results on the scorecard’s 36 health system indicators.

A ‘slow catastrophe’ unfolds as the golden age of antibiotics comes to an end

http://www.latimes.com/science/sciencenow/la-sci-antibiotic-resistance-20160711-snap-story.html

Rosslyn Maybank

In early April, experts at a military lab outside Washington intensified their search for evidence that a dangerous new biological threat had penetrated the nation’s borders.

They didn’t have to hunt long before they found it.

On May 18, a team working at the Walter Reed Army Institute of Research here had its first look at a sample of the bacterium Escherichia coli, taken from a 49-year-old woman in Pennsylvania. She had a urinary tract infection with a disconcerting knack for surviving the assaults of antibiotic medications. Her sample was one of six from across the country delivered to the lab of microbiologist Patrick McGann.

Within hours, a preliminary analysis deepened concern at the lab. Over the next several days, more sophisticated genetic sleuthing confirmed McGann’s worst fears.

There, in the bacterium’s DNA, was a gene dubbed mcr-1. Its presence made the pathogen impervious to the venerable antibiotic colistin.

Can the government encourage the development of new antibiotics?

http://www.latimes.com/science/sciencenow/la-sci-sn-antibiotic-resistance-government-incentives-20160711-snap-story.html?utm_campaign=KHN%3A+First+Edition&utm_source=hs_email&utm_medium=email&utm_content=31540667&_hsenc=p2ANqtz-8KSOwnDu9wgUrlDN8u_2HnowEpWjJZShjqIFvN-mLC_3gavkn6QZ5XuGYVoKPH71cmkDrEhbc1BXnicLRSAOV4ZkDaTQ&_hsmi=31540667

Antibiotics

It’s been nearly 30 years since scientists have found a new class of antibiotics. But U.S. lawmakers tried to give the drug industry a boost in 2012.

That year, they passed the Food and Drug Administration Safety and Innovation Act. It included provisions — collectively known as Generating Antibiotic Incentives Now, or GAIN — aimed at streamlining the government approval process for new antibiotics. It also boosted financial paybacks to drug companies that develop them.

Congress Shouldn’t Pass The 21st Century Cures Act In A Summer Rush

http://healthaffairs.org/blog/2016/07/11/congress-shouldnt-pass-the-21st-century-cures-act-in-a-summer-rush/

Blog_Capitol2

On Saturday June 25, six former FDA commissioners from Democratic and Republican administrations suggested at the Aspen Ideas Festival that Congress make the agency independent of the Department of Health and Human Services — similar to the Securities Exchange Commission, for example. With regulatory purview over products that represent a quarter of the U.S. economy, the group said the FDA is harmed by an unstable federal budget process and persistent political meddling. The group said they would issue a white paper on their proposal for the next administration. That’s another reason why Congress should postpone consideration of these bills until 2017.