Health System Performance


The Peterson-KFF Health System Tracker is an online hub monitoring how well the U.S. health system is operating through key quality and cost measures. Visit the Tracker →


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  • Big Questions for the Health Policy Community Emerging From the Coronavirus Crisis

    From Drew Altman

    With so many Americans dying, and so many more suffering severe economic hardship, it’s hard to look over the horizon at the larger questions the COVID-19 crisis will bring. The current emergency requires everyone’s attention 24/7. But an emerging set of questions will fall right in the bailiwick of the health policy community.

  • How have healthcare prices grown in the U.S. over time?

    Feature

    This chart collection explores price increases in private insurance for common services over time and finds significant geographic variation in prices. For example, the average price of a full knee replacement for those in large employer plans increased from $19,595 in 2003 to $34,063 in 2016, growth of 74% compared to a 28% increase in general inflation. The average price of a knee replacement in New York City is more than twice the price of the same procedure in the Louisville, Kentucky area.

  • Assessing the Performance of the U.S. Health System

    Issue Brief

    Health spending growth has consistently outpaced U.S. economic growth and is higher than medical spending in other wealthy countries. Despite spending more, the United States doesn't have better health outcome in terms of life expectancy, mortality rates and other measures. This brief provides an overview of trends in health costs and the performance of the U.S. health system, including comparisons to countries from the Organisation for Economic Co-operation and Development (OECD). The brief charts growth in the nation's per capita health spending along with the recent slowdown, touching on the roles of expanded Medicaid eligibility, increases in Medicare beneficiaries and the Affordable Care Act (ACA). Additionally, it discusses the health system's effectiveness and capacity to provide services, including the accessibility and affordability of care.

  • What is behind the recent slowdown in health spending?

    Feature

    This slideshow charts the recent slowdown in health spending in the United States and other industrialized nations. Some possible causes include economic factors and structural changes to the U.S. health system, such as higher cost sharing in private health insurance and lower payments to providers by Medicare and other public programs.