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Bodenheimer

And God populated the earth with broccoli and cauliflower and spinach and green and yellow vegetables of all kinds, so man and woman would live long and healthy lives. And Satan created McDonald's.. . .

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Bodenheimer

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  1. And God populated the earth with broccoli and cauliflower and spinach and green and yellow vegetables of all kinds, so man and woman would live long and healthy lives. And Satan created McDonald's.. . . And God created the healthful yogurt, that woman might keep her figure that man found so fair. And Satan froze the yogurt, and he brought forth chocolate, nuts and brightly colored sprinkle candy to put on the yogurt.... And God brought forth running shoes.... And Satan brought forth cable TV with remote control.... And God brought forth the potato.... And Satan peeled off the healthful skin and sliced the starchy center into chip and deep-fat fried them.... And Man clutched his remote control and ate the potato chips.... And Satan saw and said, "It is good.“ And Man went into cardiac arrest. And God sighed and created quadruple bypass surgery. And Satan created the HMO. Jonas S, 2003

  2. Bodenheimer • What are the main themes in this article? • Did the information seem consistent with previous readings (both profession and lay press) • What are the implications for preventive care?

  3. Objectives • Review the Economic Trends • Review the components of Health Care • Compare Health Insurance Plans • Discuss current issues in health care coverage and insurance

  4. Health Care Statistics http://www.cms.hhs.gov/TheChartSeries/Downloads/Chartbook_2007_pdf.pdf

  5. Source: CMS, Office of the Actuary, National Health Statistics Group.

  6. International Comparisons

  7. Health Care Facilities

  8. Private Health Insurance

  9. The Uninsured

  10. Forecast Summary • Health Care Expenditures in 2008 • $ 2.2 trillion • 16.2% of GDP • Average 1.8% points above GDP 1998-2008 • HCFA 1999 Report: National Health Expenditures Projections

  11. Factors Contributing to Projected Acceleration in Growth • - An upturn in private health insurance underwriting cycle • - Slower growth in managed care enrollment • - A movement toward less restrictive forms of managed care • - Continued trend towards increased state and federal regulation of health plans

  12. Factors Expected to Restrain Growth • - A projected increase in the uninsured fraction of the • population • - The continued (although smaller) impact of managed care • - The effect of projected excess capacity among health • providers

  13. Objectives • Review the Economic Trends • Review the components of Health Care • Compare Health Insurance Plans • Discuss current issues in health care coverage and insurance

  14. Primary Care • Preventive and Treatment measures • Often provided by a physician or nurse practitioner

  15. Secondary Care • Services available both in community hospitals andphysicians’ offices • Surgeries • Specialists, e.g.. Cardiologists, GI, Derm

  16. Tertiary Care • Highly specialized care • Often at large medical centers • Transplants • Open-heart surgery • Neonatal wards • Chemo- & Radiotherapy

  17. Components of Health Care • Consumers - Insurance • Providers of Care - Government • Institutions that provide care - Employers • Support Industries • Economists / Financing • Information / Technology • Higher Education

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