From Sarah Curtis at Health Affairs <[email protected]>
Subject Looking Ahead to Future Health Expenditures
Date November 7, 2023 9:02 PM
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Check out our new issue on Affordability, Physicians, Care Models, and more!

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Tuesday, November 7, 2023 | The Latest Research, Commentary, and News from Health Affairs

As we begin the fiscal year, Health Affairs and Capitol Hill turn toward federal budget considerations, with an emphasis on retrospection and forward-looking analysis for future expenditures.

For thirty years, Health Affairs has published US national health spending data ([link removed] ) in partnership with CMS.

Compiled into two annual reports, the studies include a ten-year expenditures projection using actuarial and econometric modeling methods and a retrospective examination of the preceding year’s health care costs.

This year we published the health expenditure projections for 2022-31 ([link removed] ) on June 14, offering insight into the expected growth of health care expenditures, fluctuations in the insured population, and anticipated reductions in out-of-pocket spending on prescription drugs for Medicare Part D enrollees as a result of the 2022 Inflation Reduction Act.

The annual retrospective analysis of 2022 health care costs will be published on the Health Affairs website on December 13 and will appear in our January issue.

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The November issue of Health Affairs includes discussions of health care expenditures from the perspectives of patients and payers.

Didem M. Bernard and colleagues delve into the financial challenges frequently encountered ([link removed] ) by patients and their families in the United States, including substantial out-of-pocket spending, medical debt burdens, and the necessity to postpone or forgo health care due to cost constraints.

The authors underscore the broad scope of financial hardships, offering valuable insights into the need for ongoing reforms in billing, coverage, and medical debt, and the pressing national demand for health care financing reform.

A study by Caroline Horrow and Aaron S. Kesselheim explores the clinical uncertainties and high prices associated with potentially life-changing gene therapies ([link removed] ) , outlining alternative payment models that may address reimbursement issues and ensure equitable patient access.

The authors illustrate how the various payment models follow three main approaches—amortization, risk spreading, and performance-based payment —with consideration of the advantages and challenges for various types of US payers.

Be sure to read the issue ([link removed] ) for more on affordability, physicians, care models, and more.

Sarah Curtis

Project Management Specialist, Health Affairs

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From Training To Trapping: The Paradox Of Training Repayment Agreements In Nursing ([link removed] )

Y. Tony Yang et al.

Celebrating National Family Caregivers Month

For the month of November, we are recognizing National Family Caregivers Month.

Throughout this month, we will be highlighting papers from over the years that illuminate this role through a health policy lens.

In the January 2022 issue of Health Affairs, Norma B. Coe and Rachel M. Werner find that informal caregivers provide considerable front-line support ([link removed] ) in residential care facilities and nursing homes.

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