And%20God%20populated%20the%20earth%20with%20broccoli%20and%20cauliflower%20and%20spinach%20and%20green%20and%20yellow%20vegetables%20of%20all%20kinds,%20so%20man%20and%20woman%20would%20live%20long%20and%20healthy%20lives. - PowerPoint PPT Presentation

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And%20God%20populated%20the%20earth%20with%20broccoli%20and%20cauliflower%20and%20spinach%20and%20green%20and%20yellow%20vegetables%20of%20all%20kinds,%20so%20man%20and%20woman%20would%20live%20long%20and%20healthy%20lives.

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Source: CMS, Office of the Actuary, National Health Statistics Group. U.S. Healthcare ... Health Care Expenditures in 2008 $ 2.2 trillion. 16.2% of GDP ... – PowerPoint PPT presentation

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Title: And%20God%20populated%20the%20earth%20with%20broccoli%20and%20cauliflower%20and%20spinach%20and%20green%20and%20yellow%20vegetables%20of%20all%20kinds,%20so%20man%20and%20woman%20would%20live%20long%20and%20healthy%20lives.


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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
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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?

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

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  • Health Care Statistics

http//www.cms.hhs.gov/TheChartSeries/Downloads/Ch
artbook_2007_pdf.pdf
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Source CMS, Office of the Actuary, National
Health Statistics Group.
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  • International Comparisons

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  • Health Care Facilities

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  • Private Health Insurance

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  • The Uninsured

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  • 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

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

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

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Secondary Care Services available both in
community hospitals andphysicians
offices Surgeries Specialists, e.g..
Cardiologists, GI, Derm
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  • Tertiary Care
  • Highly specialized care
  • Often at large medical centers
  • Transplants
  • Open-heart surgery
  • Neonatal wards
  • Chemo- Radiotherapy

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  • 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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  • Consumers
  • US Population
  • Minors, Aged, Disabled, Others
  • Employed, Not-employed, working poor
  • Family
  • Caregivers
  • Representatives of Consumers
  • Activists
  • Associations - AARP

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  • Providers of Care
  • Physicians
  • Nurses, PAs, Others (SW, Pharm, RDs, PTs)
  • Diagnostic and Laboratory Technicians
  • Associations / Trade Organizations

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  • Institutions that Provide Care
  • Hospitals, Medical Centers
  • Specialty Clinics
  • Rehab
  • Drug / Substance Abuse
  • Long-term care facilities
  • Associations
  • American Hospital Association

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  • Government Federal, State, Local
  • Regulatory Role
  • Political Process - set regulations, respond to
    electorate
  • Reimbursement
  • Medicare, Medicaid (States)
  • Public Health System

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  • Insurance Groups
  • Blues
  • Associations / Trade Organizations

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  • Support Industries
  • Pharmaceutical Companies and Distributors
  • Medical Devices
  • Medical Equipment
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