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THE COMMONWEALTH FUND. Geographic Variation in Health System Performance: Findings from The Commonwealth Fund’s 2009 State Scorecard. Stuart Guterman Vice President and Director, Program on Payment System Reform The Commonwealth Fund American Hospital Association

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THE COMMONWEALTH FUND

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The commonwealth fund

THE

COMMONWEALTH

FUND

Geographic Variation in Health System Performance: Findings from

The Commonwealth Fund’s

2009 State Scorecard

Stuart Guterman

Vice President and

Director, Program on Payment System Reform

The Commonwealth Fund

American Hospital Association

Taskforce on Variation in Health Care Spending

Washington, DC

November 10, 2009


Access

Access


Treatment and prevention

Treatment and Prevention


Avoidable hospital use and costs

Avoidable Hospital Use and Costs


Equity

Equity


Healthy lives

Healthy Lives


Correlations among measures

Correlations Among Measures


Implications

Implications

  • Erosion of insurance coverage puts pressure on all states

  • Wide variations across areas indicate potential for improvement

  • Areas with poor performance may not have the resources to improve on their own

  • But health care does, indeed, seem to be local—and the solutions to the problems our health care system faces also must be implemented to fit the local environment


Acknowledgements

Acknowledgements

Heather Drake, Program Associate,

Program on Payment System Reform

[email protected]

Visit The Commonwealth Fund’s web site at

www.commonwealthfund.org


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