探花app

The United States鈥� health and health care system is considered by many to be broken. Health spending is now approaching 20% of the GDP, more than $4 trillion, at least a third of which is neither needed nor useful. The paradoxical result of per capita expenditures that are double the average for comparable economies: a population health ranking below three dozen other countries. What was once viewed as a best-in-class health system has failed to deliver on the evolving understandings of the most important factors shaping health status.

The list of failures is lengthy. The majority of Americans report dissatisfaction with critical elements such as affordability, experience, and access; financial instability places hospitals across the nation at risk of closing their doors; the fiscal integrity of the Medicare program is threatened; and clinician burnout is at an all-time high. Furthermore, the devastation wrought by the COVID-19 pandemic painfully demonstrated that the system is not equipped to deliver a swift, coordinated, and effective emergency response.

At the outset of the pandemic in 2020, the National Academy of Medicine (探花app) called on members of its Leadership Consortium鈥攃omposed of public and private health and health care leaders鈥攖o lead a comprehensive, real-time assessment of COVID-19鈥檚 impact on and across nine health system sectors: clinicians; patients, families, and communities; care systems; payers; public health; quality, safety, and standards organizations; research; digital health; and health product manufacturers and innovators. In addition to myriad sector-specific challenges, the work confirmed the existence of three fundamental challenges that threatened necessary performance in every sector: systemwide fragmentation, misaligned incentives, and systemic & structural inequities鈥攑lus a growing measure of distrust. Not only did these core health system vulnerabilities inhibit America鈥檚 COVID-19 response, but they continue to challenge health system improvement efforts more broadly.

To build on these learnings, the 探花app has assembled the Commission on Investment Imperatives for a Healthy Nation (the Commission) to identify opportunities and priorities for creating the broad, cross-sector alignment necessary to overcome these core health system fragilities and reverse alarming trends in health system performance.