Transforming Health Care Through Evidence and Collaboration
Transforming Health Care Through Evidence and Collaboration
The NIHCM Foundation is a nonprofit, nonpartisan organization dedicated to improving the effectiveness, efficiency and quality of America's health care system.
  • News

    To help you find answers to questions concerning COVID-19, NIHCM is providing you with links to expert sources that are frequently updated. We will continually update this list.

    Learn More
  • Awards

    We are honored to announce the finalists for the 26th Annual Health Care Research and Journalism Awards. The winning entry in each category will be announced in late Spring and will receive a $15,000 to $20,000 cash prize.

    See the Finalists Press Release The NIHCM Awards
  • Data Insights

    As individuals around the world practice physical distancing and quarantine, some may begin to feel increased levels of loneliness and social isolation. This new Data Insights explores the risk factors and identifies key strategies to combat loneliness and social isolation. 

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  • Grants

    NIHCM Foundation has awarded 14 grants for health care journalism including investigative reporting and educational opportunities for reporters.

    Press Release All Journalism Grantees
  • Grants

    NIHCM Foundation has awarded over $500,000 in grants to support nine investigator-initiated research studies.

    Press Release All Research Grantees
  • Briefing

    NIHCM Foundation led a briefing on Capitol Hill to discuss social determinants of health and the opioid crisis with Founding President and CEO Nancy Chockley, former CMS Administrator Don Berwick, Curtis Barnett of Arkansas Blue Cross Blue Shield, Craig Samitt of Blue Cross and Blue Shield of Minnesota, and Grant Baldwin from the CDC.

    Press Release Watch the Video
  • Advisory Board

    NIHCM Foundation is pleased to welcome Dr. Scott Gottlieb, Sherry Glied, PhD, and Katherine Baicker, PhD, to its distinguished Advisory Board. Their ideas and insights will advance NIHCM's mission to improve health care for millions of Americans.

    Press Release Advisory Board
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Events

April 15, 2020
USC-covid19-webinar-041520

In this webinar, speakers will discuss what questions journalists should ask providers and health systems to gauge their plans and preparedness and to understand the hard calls they are making on rationing care.

April 08, 2020
USC-covid19-webinar-040820

This webinar highlighted how a top reporter stays on top of the story every day and offered actionable tips that will bolster fellow journalists' coverage.

In the News

March 2020
Population Health Spotlight
newsletter rural urban new

Government Spending for Health Entitlement Programs

Key Points From This Brief:

  • Spending through the two principal health entitlement programs — Medicare and Medicaid — accounts for well over a third of U.S. health care spending and for one-fifth of all federal spending. On average, states spend almost 25 percent of their budgets on Medicaid.

  • Health entitlement spending is projected to grow quickly in the next decade as the baby boom generation ages onto Medicare in very large numbers, costs per enrollee continue to rise, and if more people become eligible for Medicaid as currently expected under national health reform.

  • Despite receiving beneficiary contributions through dedicated payroll taxes, increasing premium payments, and beneficiary cost sharing — and despite the existence of the Part A Trust Fund — Medicare is heavily reliant on general revenue financing. Such financing crowds out other uses of general revenue, contributes significantly to annual deficits and cumulating debt, and places upward pressure on taxes.

  • The Medicare Trustees have issued a Medicare “fund warning” for each of the past six years, signaling consistent near-term projections that more than 45 percent of the program’s annual outlays will be financed from general revenues. Congress has failed to take corrective action in response to these warnings.

  • The average person retiring today can expect to receive significantly more in Medicare benefits during retirement than he paid into the program via payroll taxes while working and will pay in annual premiums once retired.

  • Based on legislation currently on the books, the Congressional Budget Office projects an improving but still very challenging fiscal outlook for the next decade. More realistic assumptions that result in higher Medicare spending and lower tax revenue yield an even more sobering picture of our future fiscal situation.

  • Over the longer term, if federal health entitlement spending grows as it has in the past instead of as projected under current law, our deficits and debt will grow exponentially.


In 2010 spending through Medicare and Medicaid, the principal government health entitlement programs, amounted to $525 and $401 billion, respectively — accounting for a combined totalof 35 percent of all health spending in the U.S. (Figure 1). By 2011 Medicare expenditures had risen to $549 billion.1 Health entitlement program spending also comprises a significant share of the total federal budget. The Congressional Budget Office (CBO) now projects that more than one of every five dollars spent by the federal government in 2012 will go to cover health entitlement expenditures, comparable to total spending on Social Security and outpacing both defense and non-defense discretionary spending (Figure 2).2 The money to finance all federal spending comes predominantly from individual income and payroll taxes, supplemented by very significant borrowing to cover revenue shortfalls. CBO expects that 32 cents of every federal dollar spent in 2012 will be borrowed. In this brief we take a closer look at spending under the Medicare and Medicaid programs and the implications for the government fiscal situation going forward.

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Events

April 15, 2020
USC-covid19-webinar-041520

In this webinar, speakers will discuss what questions journalists should ask providers and health systems to gauge their plans and preparedness and to understand the hard calls they are making on rationing care.

April 08, 2020
USC-covid19-webinar-040820

This webinar highlighted how a top reporter stays on top of the story every day and offered actionable tips that will bolster fellow journalists' coverage.

In the News

March 2020
Population Health Spotlight
newsletter rural urban new

Grants

Journalism GrantsJournalism Grant Program

NIHCM has announced its 2019 journalism grantees. We will begin accepting Letters of Inquiry for the 2020-2021 funding cycle in late spring 2020.

Read More


NYTUpshotLogo

Investigator-Initiated Research Grant Program

NIHCM has announced its 2019 research grantees. We will begin accepting Letters of Inquiry for the 2020-2021 funding cycle in late spring 2020.

Read More

Awards

The 26th Annual Research and Journalism Awards

Winners Announcment 2018 1

We are honored to announce the finalists for the 26th Annual Health Care Research and Journalism Awards.

Learn More