David M. Walker, Peter G. Peterson Foundation

9:30 am

Keynote Address

Peter R. Orszag, Office of Management and Budget

What is the state of play of current spending on health care in the United States? What are the implications of unchecked spending on future generations?

10:15 am

Session 1: Unnecessary Services

Chair: Denis A. Cortese, Mayo Clinic and Chair, IOM Roundtable on Value & Science-Driven Health Care

Qualitative description and quantitative estimates on the contribution of unnecessary services to excess healthcare spending, waste and inefficiency.


Elliott S. Fisher, Dartmouth University

Use of services beyond benchmarks where evidence is not established


Amitabh Chandra, Harvard University

Overuse of services, beyond evidence-established benchmarks


David Wennberg, Health Dialog

Choice of higher cost services, over evidence-established equivalents


Mark B. McClellan, Brookings Institution

Defensive medicine



12:00 pm

Lunch Presentation

Eric Jensen, McKinsey & Co.

How does U.S. spending on health care compare to international benchmarks? What are areas of specific excess spending and opportunities for cost savings?

1:00 pm

Session 2: Inefficiently Delivered Services

Chair: Arnold Milstein, Pacific Business Group on Health

Qualitative description and quantitative estimates on the contribution of inefficiency in care organization

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