Curbing Costs, Improving Care: The Path to an Affordable Health Care Future

The Nation Coalition on Health Care (NCHC), the oldest and most diverse group working to achieve comprehensive health system reform, is a 501(c)(3) organization representing more than 80 participating organizations, including medical societies, businesses, unions, health care providers, faith-based associations, pension and health funds, insurers, and groups representing consumers, patients, women, minorities and persons with disabilities. Member organizations collectively represent—as employees, members, or congregants—over 100 million Americans

Some members of the NCHC do not, or cannot, take positions either on specific legislation, strategies, or on any policies outside their respective mission areas. However, all that can do endorse broad policy positions in support of comprehensive health system change.

Objectives: The NCHC plan seeks to:

Process: From October 2011 through October 2012, NCHC held monthly or bimonthly meetings, bringing together experts and congressional staff with members of health care stakeholder organizations representing providers, consumers, payers, and purchasers. To inform those discussions, NCHC staff circulated background papers examining potential policy options. Additionally, intensive consultations were held with specific member organizations to further refine the recommendations.

Methodology: The final NCHC plan presented a seven-point strategy, accompanied by 50 specific, actionable policy recommendations.

To estimate budgetary savings, NCHC utilized existing analyses, including Congressional Budget Office estimates, Medicare Payment Advisory Commission publications, academic literature, and policy reports. Detailed sources for all savings estimates are provided in Appendix B of the plan. However, because credible estimates were not available for all 50 recommendations, no overall estimate of impact on national health expenditures or the federal budget was provided in the NCHC Plan.

Total savings: The NCHC plan identified spending-side policies estimated to generate $220.97 billion in identified federal budgetary savings and revenue options estimated to yield $276 billion in savings.

Other related work:

See the NCHC's white paper, The American Health System's Big Problem: Costs, which examines the scope and causes of America's health care cost challenges.

For more detailed description of policies in this report, please see:

Curbing Costs, Improving Care: The Path to an Affordable Health Care Future, National Coalition on Health Care, November 2012.