Cutler David M, Davis Karen, Stremikis Kristoff
Issue Brief (Commonw Fund). 2009 Dec;72:1-16.
The health reform bills passed by the U.S. House of Representatives and under consideration in the Senate introduce a range of payment and delivery system changes designed to achieve a significant slowing of health care cost growth. Most assessments of health reform legislation have focused only on the federal budgetary impact. This study projects the effect of national reform on total national health expenditures and the insurance premiums that American families would likely pay. We estimate that the combination of provisions in the House and Senate bills would save $683 billion or more in national health spending over the 10-year period 2010-2019 and lower premiums by nearly $2,000 per family. Moreover, the annual growth rate in national health expenditures could be slowed from 6.4 percent to 6.0 percent
美国众议院通过且参议院正在审议的医疗改革法案引入了一系列支付和医疗服务提供系统变革,旨在大幅减缓医疗成本增长。多数对医疗改革立法的评估仅聚焦于联邦预算影响。本研究预测全国性改革对全国医疗总支出以及美国家庭可能支付的保险费的影响。我们估计,众议院和参议院法案中的各项条款相结合,在2010 - 2019年这十年期间将节省6830亿美元或更多的全国医疗支出,并使每户家庭的保险费降低近2000美元。此外,全国医疗支出的年增长率可能从6.4%降至6.0%