09.15.11.NHE - National Health Expenditures HCMG 101 Daniel...

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Unformatted text preview: National Health Expenditures HCMG 101 Daniel Polsky September 15, 2011 Follow-up on obesity from last class More on obesity trends: http://tinyurl.com/63aylt5 Fixed title to confusing graph: Reducing obesity improves health (reduces Medicare/Medicaid spending). Medical extend life with increased health spending. As a result: THE FISCAL CONSEQUENCES OF TRENDS IN POPULATION HEALTH -1.5-1-0.5 0.5 1 1.5 2 2.5 Obesity prevalence returns to 1978 levels Smoking stops declining mortality decrease from continued medical innovation Change in years of life expectancy for 50 year old by 2050 -1000-500 500 1000 1500 2000 2500 3000 3500 4000 Obesity prevalence returns to 1978 levels Smoking stops declining Mortality decrease from medical innovation Net Effect on Federal Spending from 2004-2050 Todays Objectives Health Care spending How much? http://www.polleverywhere.com/multiple_choice_polls/LTI 3ODYzNjgzMA Who spends the money? Who gets the money? Trends in health care spending How fast is the growth? Can we afford it? Why is spending increasing so rapidly? http://www.polleverywhere.com/multiple_choice_polls/MT I5NDk5NTEy What has been done to try to curtail growth in spending? Does the average person spend more on: Food Shelter Or Health care Personal Consumption Expenditure in 2006 (Billions of Dollars) Durable goods (cars and furniture) $1,049 11% Food $1,135 14% Clothing and shoes $357 4% Other non-durables $1,072 12% Housing $1,381 15% Utilities/Transportation $842 9% Medical Care $1,588 17% Recreation $381 4% Other services $1,420 15% Source: Department of Commerce, Bureau of Economic Analysis. Distribution of Average Spending Per Person, 2008 Average Spending Per Person Age (in years) <5 $1,953 5-17 1,379 18-24 1,650 25-44 2,493 45-64 5,208 65 or Older 9,262 Sex Male $3,300 Female 4,229 Notes: Data is from the MEPS Household and Medical Provider Components and includes direct payments for care provided, including out-of-pocket payments and payment by private insurance, Medicare, Medicare, and other sources; it does not include payment for health insurance premiums, over-the-counter drugs, or indirect payments not related to specific medical events (e.g., Medicaid Disproportionate Share and Medicare Direct Medical Education payments). Includes individuals without any spending in 2008. Source: Kaiser Family Foundation calculations using data from U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey (MEPS), 2008. 20.2% 47.5% 63.6% 73.4% 80.2% 96.9% 3.1% 0% 20% 40% 60% 80% 100% Top 1% Top 5% Top 10% Top 15% Top 20% Top 50% Bottom 50% Percent of Population, Ranked by Health Care Spending Note: Dollar amounts in parentheses are the annual expenses per person in each percentile. Population is the civilian noninstitutionalized population, including those without any health care spending. Health care spending is total payments from all sources (including direct population, including those without any health care spending....
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09.15.11.NHE - National Health Expenditures HCMG 101 Daniel...

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