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Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
Health Care Reform
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Health Care Reform

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  • Transcript

    • 1. Health Care Reform January 12, 2009
    • 2. Medi NEGLECT
    • 3. Health Insurance Coverage in the U.S. in 2006
    • 4. <ul><li>Medicare is a social insurance program that provides health coverage to individuals, without regard to their income or health status </li></ul><ul><li>16% are under 65 and permanently disabled </li></ul>What is Medicare?
    • 5. <ul><li>Fee-for-service (FFS) or private health plans (HMOs, PPOs) </li></ul><ul><li>Advantage plans generally provide all benefits covered under traditional Medicare, but many plans offer additional benefits </li></ul>How are benefits provided?
    • 6. Video
    • 7.  
    • 8. <ul><li>10.1 million beneficiaries are now enrolled in a Medicare Advantage plan, up from 5.3 million in 2003 </li></ul><ul><li>Government pays 113% more for beneficiaries enrolled in Medicare Advantage than for beneficiaries in traditional Medicare in 2008 </li></ul>Quick Facts on Medicare
    • 9. <ul><li>By 2019, there will be insufficient funds in the Medicare Part A (Hospital Insurance) Trust Fund to pay for benefits </li></ul><ul><li>Current benefit levels cannot be sustained without additional revenue </li></ul>Financing Care for Future Generations
    • 10. Medicare Revenue and Spending
    • 11. <ul><li>Medicare is 14% of the federal budget </li></ul><ul><li>From 2010 – 2030, the number of people on Medicare is projected to rise from 46 million to 78 million </li></ul><ul><li>Medicare covers less than half of beneficiaries’ total medical and long-term care expenses </li></ul>Quick Facts on Medicare
    • 12. <ul><li>Medicare is listed as a “high-risk” government program </li></ul><ul><li>Fewer than 5% of Medicare claims are audited </li></ul><ul><li>Medicare fraud costs taxpayers over $60 billion a year </li></ul>Medicare Fraud
    • 13. <ul><li>Medicaid is a joint program with costs shared by federal & state government </li></ul><ul><li>Largest children’s health program </li></ul><ul><li>Each state establishes its own standards for Medicaid eligibility, benefits package, & provider payment rates </li></ul>What is Medicaid?
    • 14. <ul><li>Medicare is a federal program that covers 43 million senior citizens and retirees over 65 </li></ul><ul><li>Medicaid is a program designed to provide health coverage for children </li></ul><ul><li>Medicaid and Medicare share other costs associated with “dual eligibles”- people who qualify for both programs </li></ul>Is Medicaid the same as Medicare?
    • 15. <ul><li>3 in every 10 American children are enrolled in Medicaid </li></ul><ul><li>Over ½ of Medicaid enrollees are children </li></ul><ul><li>Medicaid serves over 24 million </li></ul><ul><li>Each state establishes its own standards for Medicaid eligibility </li></ul>Quick Facts on Medicaid
    • 16. <ul><li>So what do Medicare and Medicaid cost? </li></ul>
    • 17. <ul><li>$320 billion </li></ul>Cost of Medicare and Medicaid Medicaid Medicare + $440 billion $760 billion
    • 18. Video
    • 19.  
    • 20. <ul><li>47 Million Americans </li></ul><ul><li>1.3 million full-time workers lost coverage in 2006 </li></ul><ul><li>37.7 million workers uninsured in 2006 because their businesses did not provide quality coverage </li></ul>Who are the uninsured?
    • 21. <ul><li>Uninsured are paying “up front” </li></ul><ul><li>20% of uninsured say their usual source of care is the emergency room </li></ul><ul><li>Deaths among uninsured adults 25-64 is 18,000 a year </li></ul>How does being uninsured harm individuals and families?
    • 22. <ul><li>US spends $100 billion per year to provide uninsured residents with health services </li></ul><ul><li>Hospitals provide $34 billion worth of uncompensated care a year </li></ul><ul><li>An additional $37 billion is paid by private and public payers for health services for the uninsured and $26 billion is paid out-of-pocket by those who lack coverage </li></ul>How it Affects You
    • 23. <ul><li>The US has spent $656.1 billion on the war in Iraq to date </li></ul><ul><li>With the money spent on the Iraq war, the US could insure 193,370,980 people with health care for one year </li></ul>How it Affects You (con’t)
    • 24. <ul><li>So how can we fix the Health Care Crisis? </li></ul>

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