HSA 3111 Lecture Notes - Lecture 10: Medicaid Managed Care, Primary Care Physician, Managed Care

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Document Summary

Health care payment sources have evolved from out-of-pocket expenditures and charitable resources to a complex multiplicity of personal, private third party, and government sources. In addition, there has been a significant increase in health care costs over the years. Growth in health care costs has exceeded the growth in the general economy in most years. In 2011, national health care expenditures totaled 2. 7 trillion dollars, equaling 17. 9% of the. The top three expenses for personal health care are hospital care, physician services, and prescription drugs. Managed care utilization controls, hospital prospective payment systems, managed care physician fee restrictions, and economic recession beginning in 2008 have helped to decrease expenditure growth. Studies have suggested that 20% to 40% of u. s. health care spending is waste in that it provides services of no discernible value and inefficiently produces services that are of value. New diagnostic and treatment technology, equipment, devices and pharmaceutical agents require advanced personnel training and new personnel roles.

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