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1、McKinseyCenterforU.S.HealthSystemReformAccountingforthecostofU.S.healthcarePre-reformtrendsandtheimpactoftherecessionDecember2011McKinseyCenterforU.S.HealthSystemReformAccountingforthecostofU.S.healthcarePre-reformtrendsandtheimpactoftherecessionDecember2011JesseW.Bradford,Ph.D.David
2、G.Knott,Ph.D.EdwardH.Levine,M.D.RodneyW.Zemmel,Ph.D.McKinseyCenterforU.S.HealthSystemReformAccountingforthecostofU.S.healthcare:Pre-reformtrendsandtheimpactoftherecessionPreface“AccountingforthecostofU.S.healthcare”wasproducedbyMcKinsey&Company’sCenterforU.S.HealthSystemReform.Itexam
3、ineshealthcareexpendituresintheUnitedStatesfrom2006through2009inordertocastlightonimportanttrendsinthelevelandrateofchangeinspending,aswellascoverageshiftsduringthisperiod.Theultimateintentofthereportistoarmpublic,private,andsocialsectorleaderswithfact-basedinsightstoguideinformeddec
4、isionmaking.ThisisthethirdinaseriesofreportsfocusedonhealthcarespendingintheUnitedStates.ThepreviousreportscomparedhealthcareexpendituresintheU.S.tothoseinothereconomicallydevelopedcountries.TheydemonstratedthattheUnitedStatesspendshundredsofbillionsmorethanwouldbeexpected–evenaccoun
5、tingfordifferencesinwealthandthepropensityofrichercountriestospendmoreoftheirincomeonhealthcare.TheanalysisinthesereportswasbasedonaMcKinsey-developedmeasure,“EstimatedSpendingAccordingtoWealth”(ESAW).ThisisderivedfromaregressionanalysisofincomeandspendingdatafromothercountriesintheO
6、rganizationforEconomicCooperationandDevelopment(OECD),andallowsustoestimatehowmuchagivencountrywouldbeexpectedtospendonhealthcarebasedonpercapitagrossdomesticproduct.Theanalysisinthisreportdrawsuponanumberofdatasources.TheseincludehealthcarespendingdatafromtheOECDaswellastheNationalH
7、ealthExpenditureAccountsandotherdatasetsproducedbytheCentersforMedicareandMedicaidServices.Inaddition,thereportmakesuseofanalysisprovidedbyTheLewinGroup,adivisionofOptumInsight(formerlyIngenix).OptumInsightisawhollyownedsubsidiaryofUnitedHealthGroup.ThisresearcheffortwasledbyDavidKno
8、tt,directoro
