Healthcare in the United States¶
Global Comparatives¶
Raw Statistics¶
- https://en.wikipedia.org/wiki/List_of_countries_by_total_health_expenditure_(PPP)_per_capita
- US: #1 at 17% of GDP ($8,508 per person per year) [OECD 2011]
- https://en.wikipedia.org/wiki/List_of_countries_by_life_expectancy
- US: #36 at 79.8 (Women: 82.2, Men: 77.4) [WHO 2012]
- https://en.wikipedia.org/wiki/List_of_countries_by_infant_mortality_rate
- US: #47 at 5.2/1000 [CIA 2013]
Structured Rankings¶
- http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror
- US: 11/11 (last place) [Commonwealth Fund 2014]
- http://www.who.int/whr/previous/en/
- US: #37 [WHO 2000]
Health Insurance in the United States¶
Health Insurance Programs¶
- Medicare
- Medicaid
- Tricare
- VA
- Federal Employees Health Benefits
- Group Health Plans
- COBRA
- Federal Black Lung Benefits
- Correctional Healthcare
References
- “Medicare & Other Health Benefits: Your Guide to Who Pays First” CMMS http://www.medicare.gov/Pubs/pdf/02179.pdf
- “Health Plans & Benefits” http://www.dol.gov/dol/topic/health-plans/
Medicare¶
- Medicare Part A: Hospital/Hospice
- Medicare Part B: Medical Insurance
- Medicare Part C: Medicare Advantage
- Medicare Part D: Prescription drug plans
Medicaid¶
Tricare¶
VA¶
Federal Employees Health Benefits¶
COBRA¶
Federal Black Lung Benefits¶
Correctional Healthcare¶
PPACA¶
AKA “Affordable Care Act” (ACA) (D. “Obamacare”)
See also: https://en.wikipedia.org/wiki/Massachusetts_health_care_reform (2006) (R. “Romneycare”)
Healthcare.gov¶
See also: US > Cool Projects > Healthcare.gov
Health Information Exchange¶
https://en.wikipedia.org/wiki/Health_information_exchange
- “Meaningful Use”
Minimum Medical Loss Ratio¶
- PPACA Medical Loss Ratio limit: 85%/80%
Challenges¶
Conflict of Interest¶
Data Interchange¶
- Billing
- Who is going to pay for this?
- Medical Records
- How many times do we need to collect this information?
Medical Loss Ratio¶
https://en.wikipedia.org/wiki/Loss_ratio#Medical_Loss_Ratio
% of costs spent on other areas (administration, advertising, profit) (“overhead”)
“Do we really spend a third of health care dollars on billing and bureaucracy?” http://www.politifact.com/oregon/statements/2012/may/11/jennifer-williamson/do-we-really-spend-nearly-third-health-care-dollar/
[...] the average medical loss ratio in the United States is about 80 percent. But the reason this study tacks on another 11 percent is that the medical loss ratio “does not take into account the cost of physicians to collect from insurance companies.”
PPACA Medical Loss Ratio limit: 85%/80%
Preventative Care¶
The longer one waits to address a health concern, the more likely it is that it will be more costly.
Or, it’s less expensive for everyone to be proactive about our health.
“They”¶
- What “they” should do if they had any sense.
Alternative Plans¶
“Let’s just create another program”