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Dartmouth Class of 1962 Pre-Reunion Healthcare Program Survey

Dartmouth Class of 1962 Pre-Reunion Healthcare Program Survey. “Affordable Quality Health Care for All Americans: How Do We Get There?” Sandy Apgar ‘62. Objective Today:. Summarize ‘62 Healthcare Survey Data Highlight Survey Insights / Suggestions. Summary Data From Survey (I):.

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Dartmouth Class of 1962 Pre-Reunion Healthcare Program Survey

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  1. Dartmouth Class of 1962Pre-Reunion Healthcare Program Survey “Affordable Quality Health Care for All Americans: How Do We Get There?” Sandy Apgar ‘62

  2. Objective Today: Summarize ‘62 Healthcare Survey Data Highlight Survey Insights / Suggestions

  3. Summary Data From Survey (I): ~90% on Medicare; <30% have Long-term Care “Wish List”: Long-term, Home, Dental 83% pay <$10K p.a. out-of-pocket 96% think it’s affordable / sustainable 95% have a trusted primary care provider ~90% have a “living will”

  4. Employer-sponsored Medicare Parts A+B Medicare Part D (Drug Coverage) Medicare Supplemental Gap Long-term Care Other

  5. Long-term Care Home Care Supplemental Prescription Drugs Dental Care Medical-related Travel Other

  6. Summary Data From Survey (II): ~70% think Healthcare is a “right” (vs. “privilege”) +50% favor single-payer “Medicare for All” 46% favor negotiated pricing for drugs

  7. Comprehensive government-based single-payer (ʺMedicare for allʺ) National health service with salaried and private physicians The current Republican “repeal and replace” proposal A “premium-support” or voucher system Individual state-run private insurance plans Elimination of fee-for-service payments/Adoption of value-based performance fees Price controls/price negotiations for drugs, medical services, devices No major reforms – work with the current (Obamacare) system Other

  8. Insights / Suggestions From Survey Q14: ENDS Lower costs / Less waste Lifetime “care for all” Service ethos MEANS Comprehensive national strategy Proven “best practices” Transparent costs / resources

  9. Cost Reduction: Mayo Program Reduce turnover time / eliminate “white space” Cut equipment costs / limit variety Leverage purchasing power / concentrate vendors Lower “hospital” charges / shift to “hotel” stays Reduce overtime / stagger operating hours Increase flexibility / compress variability …..preserving capacity for complex cases.....

  10. Root Causes of High Costs: Specialization: Turf motives / weak accountability Complexity: Multiple / overlapping layers Awareness: Consumers / Suppliers

  11. Key Insights From Survey: Cost drivers / structure? Universal coverage? Institutional vs. Home long-term care? Profit- vs. Non-Profit economics?

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