Healthcare Financing
Réviser ces flashcardsGratuit · répétition espacée · iPhone, Android, Mac et web
Toutes les cartes
1
What did National Health Expenditures (NHE) reach in 2019?
\$3.8 trillion
2
What did NHE per capita reach in 2019?
\$11,582
3
How much did NHE per capita grow annually in 2019?
4.6%
4
What is NHE per capita driven by?
fundamental economic and demographic factors: changes in projected income growth, increases in prices for medical goods and services, and enrollment shifts from private health insurance to Medicare because of aging population
5
Gross Domestic Product (GDP)
value of goods and services produced by a country in a given year
6
What percent of GDP was NHE in 2019?
17.7%
7
Is the percent of GDP that is NHE projected to increase every year?
yes
8
Why have health care costs risen so rapidly?
-technological advancements
-higher quantity of care
-better quality care
-biodefense, Public Health
-aging population
-higher quantity of care
-better quality care
-biodefense, Public Health
-aging population
9
Does everyone get the same amount of health care/do each of us spend \$11,582 on healthcare?
no
10
1% of patients spend more than...accounting for 20% of all health care dollars
\$120,000
11
5% of all patients account for...of all health care dollars
50%
12
What percent of NHE come from public funds?
44%
13
What percent of NHE come from private funds?
56%
14
What are included in public funds of NHE?
-medicare 21%
-medicaid 16%
-other government/VA 7%
-medicaid 16%
-other government/VA 7%
15
What are included in private funds of NHE?
-private health insurance 31%
-out of pocket (copays, coins) 11%
-other 14%
-out of pocket (copays, coins) 11%
-other 14%
16
Where does the majority of the NHE come from?
health insurance (73%)
17
Where does the 31% of the NHE go to?
hospital care
18
Where does 20% of the NHE go to?
physician and clinical services
19
Where does 10% of the NHE go to?
prescription drugs
20
Medicare
-largest public funding sector--\$798 billion
-21% of total health care spending
-elderly
-21% of total health care spending
-elderly
21
Medicaid
-2nd largest public funding sector--\$608 billion
-16% of total health care spending
-low income, poor and elderly, blind, disabled
-16% of total health care spending
-low income, poor and elderly, blind, disabled
22
What is the largest payer of health care in the US (31%)?
private health insurance--\$1.17 trillion
23
Out of Pocket (OOP)
-\$418 billion
-direct consumer payments (copays, deductibles, coinsurance and any spending on non-covered services)
-direct consumer payments (copays, deductibles, coinsurance and any spending on non-covered services)
24
Hospitals
-largest category of health spending
-\$1.17 trillion
-31% health care spending
-\$1.17 trillion
-31% health care spending
25
Physicians
-2nd largest category of health spending
-\$760 billion
-20% health care spending
-\$760 billion
-20% health care spending
26
Prescription Drugs
-3rd largest category of health spending
-\$380 billion
-10% health care spending
-\$380 billion
-10% health care spending
27
Direct flow of funds
-simple
-fee for service
-from patient to provider
-funds or money flows from patient to health care provider in exchange of service
-most non-health goods and services are purchased this way
-fee for service
-from patient to provider
-funds or money flows from patient to health care provider in exchange of service
-most non-health goods and services are purchased this way
28
Indirect flow of funds
-advanced
-health insurance
-funds flow from patient to insurance company (premium)
-may flow from insurance company to provider as required (reimbursement)
-health insurance
-funds flow from patient to insurance company (premium)
-may flow from insurance company to provider as required (reimbursement)
29
Patients and public in the early 1900s pay for/fund what?
charity and providers (out of pocket)
30
Charity in the early 1900s pay for/fund what?
providers
31
Providers in the early 1900s pay for/fund/provide what?
medical services
32
In the 1900s, flow of funds was mostly a...
two-party transaction system between patient and provider
33
Was medical care very expensive in the 1900s?
no
34
What did medical care mainly consist of in the 1900s?
mostly drugs and physician visits
35
Technological advancements made way for...
-expensive tests, procedures
-expensive drugs
-expensive drugs
36
Aging population requiring more care means...
increase in health care spending
37
Patients and public in the later 1990s pay for/fund what?
-insurance, managed care (premiums)
-government (taxes)
-providers (out of pocket)
-government (taxes)
-providers (out of pocket)
38
Insurance, managed care in the later 1990's pay for/fund what?
providers (reimbursement)
39
Government in the later 1990's pay for/fund what?
providers
40
Providers in the later 1990's pay for/fund/provide what?
medical services
41
Out of pocket transactions have shifted to become...since the early 1900's
less
42
Third party, government, and private insurance transactions have shifted to become...since the early 1900's
more
Plus de flashcards : Économie et gestion
Steps of the Change Management ProcessÉconomie et gestion · Anglaisun étudiant OutLearnFinancial Management 2 MidtermsÉconomie et gestion · AnglaisFrancineManagement: Control (Chapter 7)Économie et gestion · AnglaisPriyaSupply Chain Management Exam 2Économie et gestion · AnglaisMILESSON 1: INTRODUCTION TO I.T. IN BUSINESSÉconomie et gestion · AnglaisDionGr 11 Hfst 3 Bestuur en EntrepreneurskapÉconomie et gestion · NéerlandaisSnipperkasElasticities of Supply and DemandÉconomie et gestion · AnglaisrikishakennedyUnit 3 - Personal Financial StatementsÉconomie et gestion · AnglaisAvaIntroduction to MacroeconomicsÉconomie et gestion · Anglaisrikishakennedymacroeconomics Vocab 4Économie et gestion · AnglaisAllimInternal Analysis: ResourcesÉconomie et gestion · AnglaisrikishakennedyTCP T2 NotesÉconomie et gestion · Anglaiswowiepow
Tous les decks : Économie et gestion
Révise ces decks dans l’app
Gratuit sur iPhone, Android, Mac et le web. Ajoute n’importe quel deck à ton compte en un tap.
