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Longest36626aCost - HSA 366 Session 26 Health Care Cost...

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HSA 366 - Session 26 Health Care Cost Containment
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On-Going Health Care Concerns Cost Containment Quality Access
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Cost Containment Why is Cost Containment (in health care) of concern? Rising Costs are increased burden On individuals On governments On employers Health care costs rising much faster than general inflation (or wages) Increased Cost = improved quality
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Where It Came From (2005) 36% 17% 16% 14% 12% 5% Private Insurance Medicare Medicaid & SCHIP Out-of-Pocket Other Public Other Private
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U.S. Health Care 2005 55% 29% 16% Private Sources Federal State / Local
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Public / Private Share 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% United States Germany Japan Netherlands Canada United Kingdom Private Public
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Where it Went (2005)
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What should determine the PRICE of health insurance? Employment status Income level Health status Service utilization taxes
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Public Share of Health Care Direct Federal Reimbursement = 44 % BUT Federal Gov’t Subsidizes Health Benefits as an Employer Tax Deduction Total Public Share of Costs Climbs to 60%
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Three Models of Paying for Health Care (Which is Fairer?) Tax Model - Tax on Income - Redistributes Wealth most Broadly Social Insurance Model - Payroll Taxes - Higher Proportion for Lower Income Workers Private Insurance Model - Premium Based on Risk Group - Health Status Note that U.S. Uses All 3
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