The Roundtable on Population Health Improvement, a convening activity of the National Academies of Sciences, Engineering, and Medicine, held a workshop on March 15–16, 2021, to explore issues related to increasing health care spending in the United States. The workshop, U.S. Health Care Expenditures: Costs, Lessons, and Opportunities, was organized to highlight the persisting challenge of health care expenditures that are not commensurate with the health outcomes they produce. This publication summarizes the presentation and discussion of the workshop.

Contents

• The National Academies of SCIENCES • ENGINEERING • MEDICINE
• PLANNING COMMITTEE ON U.S. HEALTH CARE EXPENDITURES: COSTS, LESSONS, AND OPPORTUNITIES
• ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT
• Reviewers
• Acronyms and Abbreviations
• In Memoriam
• 1. Introduction
  • WORKSHOP OVERVIEW
  • ORGANIZATION OF THE PROCEEDINGS
• 2. Economic Perspectives Framing Health Care Expenditure
  • A HEALTH DIVIDEND FOR AMERICA: U.S. HEALTH CARE EXPENDITURE AND OPPORTUNITY COSTS
  • EXPANDING HEALTH ACCESS WHILE DECREASING WASTEFUL HEALTH SPENDING
  • HEALTH EQUITY INITIATIVES
  • DISCUSSION
• 3. Innovation to Bend the Spending Curve
  • A STATE ROADMAP TO DEVELOPING HEALTH CARE COST GROWTH BENCHMARKS
  • CASE EXAMPLE: DELAWARE'S JOURNEY TOWARD HEALTH AND QUALITY BENCHMARKS
  • COLLABORATIVE APPROACH TO PUBLIC GOODS INVESTMENT
  • A FEDERAL-LEVEL PERSPECTIVE
  • DISCUSSION
• 4. Framing and Shifting the Health Narrative in the United States
  • PERSPECTIVES ON HEALTH CARE CHALLENGES
  • SHIFTING AN INDIVIDUALISTIC MINDSET
  • THE POTENTIAL IMPACT OF COVID-19 AND THE RACIAL EQUITY MOVEMENT ON HEALTH POLICY
  • ROLE OF COMMUNITY-LEVEL EFFORTS IN POLICY CHANGE
  • PERSPECTIVES OF MEDICARE RECIPIENTS
  • TECHNIQUES USED IN FRAMING HEALTH SPENDING REFORM
  • FINAL THOUGHTS
• 5. Research Priorities
  • AREAS OF CURRENT RESEARCH
  • DISCUSSION
  • CLOSING REMARKS AND REFLECTIONS
• A. References
• B. Speaker Biographical Sketches
• C. Workshop Agenda
• D. Readings and Resources

Suggested citation:

National Academies of Sciences, Engineering, and Medicine. 2023. U.S. health care expenditures: Costs, lessons, and opportunities: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26425.

Digital Object Identifier: https://doi.org/10.17226/26425

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Printed in the United States of America.