Effects Of Privatizing Healthcare
M
g n OLA i tiz MOL
o a H v ra
i e bo r P y: D
B
i d e
e r ca
History of Medicare
What are the health effects of
Privatizing Healthcare https://www.youtube.com/watch?v=QHzBTdHKFdc https://www.youtube.com/watch?v=lNz-IIl75V4
SCREENING
•
52.3 million people utilize Medicare.
(kkf.org,2015)
•
Medicare accounts for 20% of total national healthcare spending in 2012
(kkf.org, 2015
•
Medicare spending per beneficiary rose more than 400 percent from 1969 to
2009 but inflationadjusted premiums on private health insurance rose more than 700 percent.
(ncpssm.org,2015)
Scoping & Assessment
Health effects to consider that directly effect those who are 65 years and older are
…
•
Increased mortality rates
•
Increased poor health among …show more content…
the elderly due lack of adequate treatment
•
Increased rate of chronic treatable diseases due to lack of preventive care
•
Unenjoyably aging and end of life process
Assessment
•
More than a quarter of all Americans and two of three older Americans have multiple chronic conditions, and treatment for this population accounts for 66% of the country’s health care budget (cdc.gov 2015)
•
Among adult age groups, those aged 65 or older have the smallest percentage of people with proficient health literacy skills and the largest percentage with
“below basic” health literacy skills.
(cdc.gov,2015(
•
The average 75-year-old has three chronic conditions and uses five prescription drugs. (cdc.gov,2015)
•
Privatization of Medicare would increase healthcare cost for the average 65 year old by 40%.
(cdc.gov,2015)
Recommendation & Reporting
•
•
Simplified fee schedule for treatments & Uniformity throughout the nation
Increase availability of preventive care …show more content…
services
•
Increase early detections interventions services
•
Inform Medicare beneficiaries and lobby against Medicare privatization. •
Improve and amend certain Medicare
Reporting
Government Agencies > Private insurance > Local health dept, community groups, social groups> Public Health insurance providers > Medicare Recipients
Monitoring and Evaluating
NATIONAL BOARD OF UNIVERSAL QUALITY AND ACCESS
•
Appointed Members by the President
•
•
•
(B) Quality improvement.
(C) Efficiency of administration.
•
•
(A) Access to care.
(D) Adequacy of budget and funding.
(E) Appropriateness of reimbursement lev- 10 els of physicians and other providers.
•
(F) Capital expenditure needs.
•
•
•
(G) Long-term care.
(H) Mental health and substance abuse 14 services.
(I) Staffing levels and working conditions in health care delivery facilities Conclusion
Privatizing healthcare has its pro’s and con’s .
Pros
•
Easier access to healthcare .
Example- No lines in seeing a doctor
•
Selecting to a physician of your choice
•
Private rooms & possibly expert care from experienced doctors
•
Availability to see a specialist without referral
Cons
•
More expensive
•
Indemnity health insurance is by far more expensive than an HMO
•
A patient with pre-existing conditions may find it difficult to obtain indemnity insurance with pre-existing conditions
•
PPO’s charge more for going out of network physicians
“We can use decision-making to choose the habits we want to form, use willpower to get the habit started, then - and this is the best part - we can allow the extraordinary power of habit to take over. At that point, we 're free from the need to decide and the need to use willpower”.
-Gretchen Rubin
References
114th Congress Session Jan 5,2015 ( Retrived from http://conyers.house.gov/_cache/files/c73603de-2756-42c8-bae0-555df35f7fc3/HR%20676%202.4.15.pdf) Everything our Government Really Does September 2014 (Retrived from http://www.allgov.com/departments/department-of-health-and-human-services/medicare?agencyid=7399) Centers for Disease Control
http://www.cdc.gov/healthyplaces/hia.htm
Centers for Disease Control and Prevention. Leading causes of death, 1900–1998. Centers for Disease Control and Prevention Web site. http://www.cdc.gov/nchs/data/dvs/lead1900_98.pdf. 7. Hoffman C, Rice D, Sung
HY. Persons with chronic conditions: their prevalence and costs. JAMA. 1996;276(18):1473-1479
Centers for Disease Control and Prevention. Identifying Vulnerable Older Adults and Legal Options for Increasing
Their Protection During All-Hazards Emergencies: A Cross-Sector Guide for States and Communities.
Atlanta, GA: Centers for Disease Control and Prevention. US Dept of Health and Human Services; 2012.
NCPSSM Medicare Top 10 Reasons Americans Love Medicare. (n.d.). Retrieved February 6, 2015, from http://www.ncpssm.org/Medicare/Top10ReasonsAmericansLoveMedicare Philpson, T. (2009, October 30). What 's Wrong With Private Insurance? Retrieved February 7, 2015, from http://www.forbes.com/2009/10/30/public-option-health-care-private-insurance-opinions-contributors-tomas-j-philipson.html US Department of Health and Human Services. National Action Plan to Improve Health Literacy. Washington, DC:
Office of Disease Prevention and Health Promotion. US Dept of Health and Human Services; 2010.
US Department of Health and Human Services. Multiple Chronic Conditions: A Strategic Framework— Optimum
Health and Quality of Life for Individuals with Multiple Chronic Conditions. Washington, DC: US Dept of
Health and Human Services; 2010. http://www.hhs.gov/ash/initiatives/mcc/mcc_framework.pdf.
g n OLA i tiz MOL
o a H v ra
i e bo r P y: D
B
i d e
e r ca
History of Medicare
What are the health effects of
Privatizing Healthcare https://www.youtube.com/watch?v=QHzBTdHKFdc https://www.youtube.com/watch?v=lNz-IIl75V4
SCREENING
•
52.3 million people utilize Medicare.
(kkf.org,2015)
•
Medicare accounts for 20% of total national healthcare spending in 2012
(kkf.org, 2015
•
Medicare spending per beneficiary rose more than 400 percent from 1969 to
2009 but inflationadjusted premiums on private health insurance rose more than 700 percent.
(ncpssm.org,2015)
Scoping & Assessment
Health effects to consider that directly effect those who are 65 years and older are
…
•
Increased mortality rates
•
Increased poor health among …show more content…
the elderly due lack of adequate treatment
•
Increased rate of chronic treatable diseases due to lack of preventive care
•
Unenjoyably aging and end of life process
Assessment
•
More than a quarter of all Americans and two of three older Americans have multiple chronic conditions, and treatment for this population accounts for 66% of the country’s health care budget (cdc.gov 2015)
•
Among adult age groups, those aged 65 or older have the smallest percentage of people with proficient health literacy skills and the largest percentage with
“below basic” health literacy skills.
(cdc.gov,2015(
•
The average 75-year-old has three chronic conditions and uses five prescription drugs. (cdc.gov,2015)
•
Privatization of Medicare would increase healthcare cost for the average 65 year old by 40%.
(cdc.gov,2015)
Recommendation & Reporting
•
•
Simplified fee schedule for treatments & Uniformity throughout the nation
Increase availability of preventive care …show more content…
services
•
Increase early detections interventions services
•
Inform Medicare beneficiaries and lobby against Medicare privatization. •
Improve and amend certain Medicare
Reporting
Government Agencies > Private insurance > Local health dept, community groups, social groups> Public Health insurance providers > Medicare Recipients
Monitoring and Evaluating
NATIONAL BOARD OF UNIVERSAL QUALITY AND ACCESS
•
Appointed Members by the President
•
•
•
(B) Quality improvement.
(C) Efficiency of administration.
•
•
(A) Access to care.
(D) Adequacy of budget and funding.
(E) Appropriateness of reimbursement lev- 10 els of physicians and other providers.
•
(F) Capital expenditure needs.
•
•
•
(G) Long-term care.
(H) Mental health and substance abuse 14 services.
(I) Staffing levels and working conditions in health care delivery facilities Conclusion
Privatizing healthcare has its pro’s and con’s .
Pros
•
Easier access to healthcare .
Example- No lines in seeing a doctor
•
Selecting to a physician of your choice
•
Private rooms & possibly expert care from experienced doctors
•
Availability to see a specialist without referral
Cons
•
More expensive
•
Indemnity health insurance is by far more expensive than an HMO
•
A patient with pre-existing conditions may find it difficult to obtain indemnity insurance with pre-existing conditions
•
PPO’s charge more for going out of network physicians
“We can use decision-making to choose the habits we want to form, use willpower to get the habit started, then - and this is the best part - we can allow the extraordinary power of habit to take over. At that point, we 're free from the need to decide and the need to use willpower”.
-Gretchen Rubin
References
114th Congress Session Jan 5,2015 ( Retrived from http://conyers.house.gov/_cache/files/c73603de-2756-42c8-bae0-555df35f7fc3/HR%20676%202.4.15.pdf) Everything our Government Really Does September 2014 (Retrived from http://www.allgov.com/departments/department-of-health-and-human-services/medicare?agencyid=7399) Centers for Disease Control
http://www.cdc.gov/healthyplaces/hia.htm
Centers for Disease Control and Prevention. Leading causes of death, 1900–1998. Centers for Disease Control and Prevention Web site. http://www.cdc.gov/nchs/data/dvs/lead1900_98.pdf. 7. Hoffman C, Rice D, Sung
HY. Persons with chronic conditions: their prevalence and costs. JAMA. 1996;276(18):1473-1479
Centers for Disease Control and Prevention. Identifying Vulnerable Older Adults and Legal Options for Increasing
Their Protection During All-Hazards Emergencies: A Cross-Sector Guide for States and Communities.
Atlanta, GA: Centers for Disease Control and Prevention. US Dept of Health and Human Services; 2012.
NCPSSM Medicare Top 10 Reasons Americans Love Medicare. (n.d.). Retrieved February 6, 2015, from http://www.ncpssm.org/Medicare/Top10ReasonsAmericansLoveMedicare Philpson, T. (2009, October 30). What 's Wrong With Private Insurance? Retrieved February 7, 2015, from http://www.forbes.com/2009/10/30/public-option-health-care-private-insurance-opinions-contributors-tomas-j-philipson.html US Department of Health and Human Services. National Action Plan to Improve Health Literacy. Washington, DC:
Office of Disease Prevention and Health Promotion. US Dept of Health and Human Services; 2010.
US Department of Health and Human Services. Multiple Chronic Conditions: A Strategic Framework— Optimum
Health and Quality of Life for Individuals with Multiple Chronic Conditions. Washington, DC: US Dept of
Health and Human Services; 2010. http://www.hhs.gov/ash/initiatives/mcc/mcc_framework.pdf.