Exhibit 1. Real Annual Growth Rates for Medicare Part A and
Part B Spending per Beneficiary, 1975–1985 and 1985–1990
Percent
10
Part A
Part B
8
7.0
6.8
6
5.3
4
2
0.6
0
1975–1985
1985–1990
Source: Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Insurance Trust Funds. 2014 Annual Report (Washington, D.C.:
Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Insurance Trust Funds, July 28, 2014), http://www.cms.gov/ResearchStatistics-Data-and-Systems/Statistics-Trends-and-Reports/ReportsTrustFunds/Downloads/TR2014.pdf. Spending figures deflated by Consumer Price
Index for All Urban Consumers, U.S. City Average, All Items (1982–1984=100).
Exhibit 2. Real Annual Growth Rate of Medicare Part B Spending
per Beneficiary, Five-Year Intervals, 1975–2000
Percent
10
7.6
8
6
7.0
6.1
4
3.4
3.4
1990–1995
1995–2000
2
0
1975–1980
1980–1985
1985–1990
Source: Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Insurance Trust Funds. 2014 Annual Report (Washington, D.C.:
Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Insurance Trust Funds, July 28, 2014), http://www.cms.gov/ResearchStatistics-Data-and-Systems/Statistics-Trends-and-Reports/ReportsTrustFunds/Downloads/TR2014.pdf. Spending figures deflated by Consumer Price
Index for All Urban Consumers, U.S. City Average, All Items (1982–1984=100).
Exhibit 3. Percentage of Traditional Medicare Payment
Tied to Quality or Value, and Goals for the Future
100
85
90
80
60
42
40
20
0
As of 2013
As of 2016 (Goal)
As of 2018 (Goal)
Sources: Catalyst for Payment Reform, “First of Its Kind Scorecard on Medicare Payment Shows Widespread Payment Reform”
(press release), May 5, 2015, http://www.catalyzepaymentreform.org/images/Press_Release_Scorecard_on_Medicare_Payment_
Reform_final.pdf; and S. M. Burwell, “Setting Value-Based Payment Goals—HHS Efforts to Improve U.S. Health Care,” New England
Journal of Medicine, March 5, 2015 372(10):897–99.
Exhibit 4. Medicare Shared Savings Program:
Year 1 (2013) Performance of Participating ACOs
27% (60 ACOs)
reduced spending, but
not enough to earn sharedsavings bonus
24% (52 ACOs)
earned shared savings
bonus
3% (6 ACOs) achieved
savings, but did not
successfully report
quality measures
46% (102 ACOs)
did not achieve savings
220 Medicare Shared Savings Program ACOs
Source: M. Abrams, R. Nuzum, M. Zezza, J. Ryan, J. Kiszla, and S. Guterman, The Affordable Care Act’s Payment and Delivery System Reforms:
A Progress Report at Five Years (New York: The Commonwealth Fund, May 2015).