Congressional proposals would cover all uninsured, reduce US health spending by up to $61B

trate that it is possible to move toward the high performance health care system Americans want and deserve while assuring access to health care for everyone."

Researchers found that quality improvement provisions were embedded in many of the proposals. However, the proposals that will organize health care coverage through centralized mechanisms and allow health care quality improvement tools like standardized data collection, electronic claims and medical records, and rewarding providers for providing high quality care to be implemented systematically will go the furthest to improve quality, according to the analysis.

To create the analysis, researchers, assessed the economic and human impact different proposals would have in 2007 in three broad categories: fundamental reforms to the nation's health insurance system, expansions of existing public health insurance, and strengthening employer-based health insurance. Specifically, researchers looked at each proposal's potential to improve America's health care system by providing universal access to health care, equality of care and health care spending, efficiency in financing and delivery of care, higher quality care and ultimately, longer, healthier and more productive lives.

Proposals selected for inclusion in the report either had the potential to significantly impact the problem, reflected ideas proposed in the Administration's budget, had bipartisan support or were unique or innovative. The ten-page executive summary and full report are available on the Commonwealth Fund's Web site, www.cmwf.org. This report, the first of a two-part series, analyzes and compares leading congressional bills to expand health insurance coverage. Part II of the series will analyze and compare congressional bills that seek to improve health care quality and efficiency.

Health Insurance Expansion Bills - Change in Health Spending by Stakeholder Group, Billions of Dollars, 2007

Total U

Contact: Mary Mahon
Commonwealth Fund

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