Meeting of
AcademyHealth Members
Jeanne Lambrew, Ph.D.
Chair, Coalition for Health Services Research
June 4, 2007
The Coalition for Health Services Research
 Mission to support research that unlocks
the secrets of
o Quality
o Affordability
o Accessibility
 Advocacy arm of AcademyHealth, making
an impact through
o Appropriations
o Authorizations
1
Where the Health Care Dollar Goes - 2003
Hospital Care – 30.8 cents
Physician & Clinical Services – 22 cents
Rx Drugs – 10.7 cents
Administrative – 7.1 cents
Nursing Home Care – 6.6 cents
Dental Services – 4.4 cents
Public Health – 3.2 cents
Other Medical Products – 3.1 cents
Other Professional Services – 2.9 cents
Other Personal Health Care – 2.9 cents
Home Health Care – 2.4 cents
Construction – 1.5 cents
Research – 2.3 cents
Health Services Research – 0.1 cents
TOTAL…………………….$1
Source: Health, United States, 2005 – National Center for Health Statistics
2
Where the Health Care Research Dollar Goes
Federal Health Research
by Type
Federal HSR Spending Compared to
All Federal Health Research
(in billions)
32
75%
20%
5%
Biomedical
Clinical
Health Services
1.5
Federal Health
Research
Federal HSR
3
HSR Funding FY 2007
AHRQ
$319 million
To evaluate $1.8 trillion health
care system.
NIH
$954 million
To translate $28 billion in basic
and clinical research into
practice.
CMS
$58 million
To evaluate $295 billion of
Medicare spending.
NCHS
$109 million
To gather data to help evaluate
$1.8 trillion health care system.
VHA
$64 million
To evaluate the $29 billion
veterans health system.
HSR Funding FY 2008
Agency
FY 2007
Bush FY08
Request
Coalition
Minimum
Target
Coalition
Projected
Need
AHRQ
$319 million
$329 million
$350 million
$500 million
NCHS
$109 million
$109 million
$117 million
$150 million
CDC’s Public
Health Research
$31 million
$31 million
$33 million
$50 million
CMS
$58 million
$34 million
$45 million
$80 million
NIH
$954 million
$950 million
$1,000 million
$1,500 million
VHA
$64 million
$64 million
$68 million
$75 million
What Can You Do?
In future budget cycles:
 Contact Congressmen on Budget Committees in
House and Senate
 Contact Congressmen on Labor, HHS, Education
Appropriations Subcommittees in House and
Senate
 Urge them to support increased funding for
HSR
6
Framework for HSR Policy (2007)
 Fair and transparent access to information
 The next generation of researchers
 Advancement of scientific discovery and
expansion of knowledge
 Broad-based and adequate funding for
comparative effectiveness research
 Accountability through a Coordinating Council
for HSR
7
New Legislation Advancing Policy Priorities
Submitted proposed report language to House and
Senate Labor-HHS-Education Appropriations Bills
oEncourages AHRQ to invest at least as much on an
investigator-initiated research as it does on
intramural HSR.
oEmphasizes that funding earmarks and special
projects should be limited.
Note: Report language is guidance; it does not carry force of law.
8
New Legislation Advancing Policy Priorities
 Enhanced Health Care
Value for All (H.R. 2184)
introduced by Reps. Tom
Allen (D-ME) and Jo Ann
Emerson (R-MO)
9
New Legislation Advancing Policy Priorities
 H.R. 2184 (cont.)
oEstablishes a Comparative Effectiveness
Advisory Board to govern research
prioritization, conduct, and dissemination
o“All payer” funding mechanism, phasing up
to $3 billion over five years
oEstablishes a Coordinating Council for HSR
10
Questions?
11
Contact Us
For more information contact:
Emily Rowe
Director, Government Relations
(202) 292-6743 (voice)
(202) 292-6843 (fax)
emily.rowe@academyhealth.org
Visit our Web site:
www.chsr.org
12