“Improved Medicare For All” for Beginners (Part A)
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Transcript of “Improved Medicare For All” for Beginners (Part A)
![Page 1: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/1.jpg)
“Improved Medicare For All”for Beginners (Part A)
![Page 2: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/2.jpg)
How is Health Care Currently Financed?
![Page 3: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/3.jpg)
How is Health Care Currently Financed?
Employer Sponsored Insurance (ESI)
![Page 4: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/4.jpg)
How is Health Care Currently Financed?
Employer Sponsored Insurance (ESI) Individual Market
![Page 5: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/5.jpg)
How is Health Care Currently Financed?
Employer Sponsored Insurance (ESI) Individual Market VA Health
![Page 6: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/6.jpg)
How is Health Care Currently Financed?
Employer Sponsored Insurance (ESI) Individual Market VA Health Medicare
![Page 7: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/7.jpg)
How is Health Care Currently Financed?
Employer Sponsored Insurance (ESI) Individual Market VA Health Medicare Medi-Cal (Medicaid)
![Page 8: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/8.jpg)
How is Health Care Currently Financed?
Employer Sponsored Insurance (ESI) Individual Market VA Health Medicare Medi-Cal (Medicaid) Out-of-pocket
![Page 9: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/9.jpg)
What Are the Results?
![Page 10: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/10.jpg)
What Are the Results?
![Page 11: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/11.jpg)
What Are the Results?
![Page 12: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/12.jpg)
What Are the Results?
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What Are the Results?
![Page 14: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/14.jpg)
What Are the Results?
![Page 15: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/15.jpg)
What Are the Results?
![Page 16: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/16.jpg)
How Do We Compare?
Maternal Mortality
Life Expectancy Infant Mortality
Source: OECD 2011
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How Do We Compare?
![Page 18: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/18.jpg)
How Do We Compare?
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The Secret Life of theHealth Care Dollar
$
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Private Insurance Takes Its Cut
$
20% Overhead(5% Profit)
![Page 21: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/21.jpg)
Delivery Side Takes Its Hit
$
10% Overhead
![Page 22: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/22.jpg)
Clinical Waste Weighs In
$
20% Lost
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The End Result?
$
50% Left for Actual Health Care
![Page 24: “Improved Medicare For All” for Beginners (Part A)](https://reader035.fdocuments.net/reader035/viewer/2022062719/56813221550346895d9880cd/html5/thumbnails/24.jpg)
The Single-PayerHealth Care Dollar
$
5% Overhead(or less)
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The Patient Protection and Affordable Care Act (ACA)
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Impact of ACA on:The Uninsured
# of uninsured reduced from 46 million today to ~26 million in 2019 (most likely even higher due to SCOTUS decision).
Safety net hospital funding through Medicare cut by $36 billion through 2019.
Community health centers receive extra $1 billion annually
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Impact of ACA on:The Underinsured
If you like your current coverage you can keep it.
If you don’t like your current job-based coverage, you HAVE to keep it.
Policies required to cover at least 60% of expected health costs – e.g. $2,000 deductible + 20% co-insurance for next $15,000 of care.
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Impact of ACA on:Medical Bankruptcy
No change for 75% of medical bankruptcy filers who have insurance.
Up to 50% reduction among the 25% of the medically bankruptcy who were uninsured in 2007 but will gain coverage under reform.
Maximum expected reduction in medical bankruptcies = 12.5%.
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Impact of ACA on:Health Care Costs - 1
Expanded Medicaid - $434 billion (maybe)
Subsidies for private coverage - $358 billion
Small employer tax credits - $37 billion
Temporary high risk pools, subsidy for retirees <65, etc – ~$10 billion
All figures reflect spending through 2019
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Impact of ACA on:Health Care Costs – 2 (savings)
Decreased Medicare Advantage/HMO overpayment - $136 billion
Decreased Medicare (DSH) payment to safety net hospitals - $36 billion
Decreased Medicare fee-for-service payments to doctors/hospitals - $196 billion
Other Medicare/Medicaid cuts - $87 billion
All figures reflect spending through 2019
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Impact of ACA on:Cost Control Provisions
Insurance exchanges Health information technology Comparative effectiveness research Fraud and abuse prosecution/recovery Alternatives to F-F-S (experiments) Coverage of preventive services Tax on “Cadillac” coverage Malpractice reform (experiments) Medicare advisory board
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Health Reform Bill:Proven Cost Control Provisions
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Impact of ACA on:Administrative Costs
IRS cost to enforce mandate - $5-10 bil Running insurance exchanges - ~4% of
premiums (based on Massachusetts) Insurance overhead - ~13% of new
premium revenues = $42 billion Cap on insurance overhead - ???? Standardized claim forms - ????
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