THECOMMONWEALTH
FUND
Geographic Variation in Health System Performance: Findings fromThe Commonwealth Fund’s
2009 State ScorecardStuart Guterman
Vice President andDirector, Program on Payment System Reform
The Commonwealth Fund
American Hospital AssociationTaskforce on Variation in Health Care Spending
Washington, DCNovember 10, 2009
Access
Treatment and Prevention
Avoidable Hospital Use and Costs
Equity
Healthy Lives
Correlations Among Measures
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
Heather Drake, Program Associate,Program on Payment System [email protected]
Visit The Commonwealth Fund’s web site atwww.commonwealthfund.org
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