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Briefing Date:03/21/2013
Topic:Interim Report of the Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Health Care: Preliminary Committee Observations

THE NATIONAL ACADEMIES
Institute of Medicine
Board on Health Care Services
Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care

*****

Congressional Briefings
Thursday, March 21, 2013
2218 Rayburn House Office Bldg. – 11:00 a.m.
and
538 Dirksen Senate Office Bldg. – 11:30 a.m.

on

Interim Report of the Committee on Geographic Variation in Health Care
Spending and Promotion of High-Value Health Care:
Preliminary Committee Observations

This new report is designed to provide the Institute of Medicine (IOM) committee's preliminary observations for the 113th Congress as it considers further Medicare reform. This report contains only key preliminary observations related primarily to the committee's commissioned analyses of Medicare Parts A (Hospital Insurance program), B (Supplementary Medical Insurance program) and D (outpatient prescription drug benefit), complemented by other empirical investigations. It does not contain any observations related to the committee's commissioned analyses of the commercial insurer population, Medicare Advantage, or Medicaid, which will be presented in the committee's final report after completion of quality-control activities.

This interim report excludes conclusions or recommendations related to the committee's consideration of the geographic value index or other payment reforms designed to promote high-value care. Additional analyses are forthcoming, which will influence the committee's deliberations. These analyses include an exploration of how Medicare Part C (Medicare Advantage) and commercial spending, utilization, and quality vary compared with, and possibly are influenced by, Medicare Parts A and B spending, utilization, and quality. The committee also is assessing potential biases that may be inherent to Medicare and commercial claims-based measures of health status. Based on this new evidence and continued review of the literature, the committee will confirm the accuracy of the observations presented in this interim report and develop final conclusions and recommendations, which will be published in the committee's final report.

These series of briefings were for members of Congress and congressional staff only. The report was publicly released on March 22, 2013 and can be found, in its entirety, on the Web site of the National Academies Press.

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