AS.280.100 Lecture Notes - Lecture 1: Patient Protection And Affordable Care Act, Lloyd Bentsen, Electronic Health Record
16 Sep 2016
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Department
Course
Professor
Fundamentals of Health Policy & Management Week 1
Per person cost of health care for US vs. other industrialized countries
• US spend 17.9% of GDP on health
Medicare and Medicaid
Major challenges to system
• Costs rise faster than GDP
• Aging populations
• New technologies
In US we pay more per capita for health care we get
Why are costs in US higher?
• no real competiton on price
• limited competition on quality
• Gov. controls prices per unit of service under Medicare and Medicaid
• other countries budget H.C. expeditures
Majority of insurance from employeer
# of uninsured decreased from 2009 to 2010
• however: 54% no usual source of care, 23% needed care but didn’t
get, 23% could not afford Rx
Nonelderly Uninsured
• 17% of children
• 24% parents
• 60% adults w/o children
o families can’t afford to pay the premium to insure whole
family
Quality of H.C. in America
• 44-98 thousand Americans die each year from medical errors
• 2003 RAND study fund ony 55% receive proven “quality” care for
chronic diseases and recommended preventitve care
RAND Study in 2003
• looked at overuse and underuse
o more likely to NOT get something we need, more underuse
than overuse
Affordable Care Act
• Require most citizens to have health health insurance
• require insurers to spend 85% on premiums on care
o if less than a rebate must be issued
Comparative Effectiveness Research lead to better treatment
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