Why Isn’t Innovation Helping Reduce Health Care Costs?

Why Isn’t Innovation Helping Reduce Health Care Costs?

The United States' national health care expenditures (NHEs) continue to surge, surpassing economic growth rates, with a 1.6 percent higher increase than GDP from 1990 to 2018. Compared to other countries in the Organization for Economic Cooperation and Development, the US demonstrates significantly higher NHE growth relative to GDP (17.2 vs. 8.9 percent). Analysts propose that rising prices and service intensity, rather than utilization rates or demographics, account for this disparity. Despite a thriving innovation ecosystem, cost reduction remains elusive, attributed to a lack of enhanced net productivity. This post examines the root causes, intensified by COVID-19's resource constraints, and advocates low-cost innovation strategies.

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This study analyzes the surge in the United States' national health care expenditures (NHEs), surpassing economic growth rates by 1.6 percent compared to GDP from 1990 to 2018. Relative to countries in the Organization for Economic Cooperation and Development, the US exhibits considerably higher NHE growth relative to GDP (17.2 vs. 8.9 percent). Analysts attribute this trend to escalating prices and service intensity, rather than utilization rates or demographics. Despite a vibrant innovation ecosystem, cost reduction remains challenging due to inadequate net productivity enhancements. The research explores root causes, magnified by COVID-19 resource constraints, and recommends low-cost innovation approaches.


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