13b.+Health+Care+Finance

13b.+Health+Care+Finance -...

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http://www.youtube.com/watch?v=3-Ilc5xK2_E http://www.youtube.com/watch?v=X6RNEy4ryl8 http://healthreform.kff.org/the-basics.aspx It’s not health care, it’s health care finance Problem: Trilemma of low cost + high access + high technology (new treatments) Problems: -rising costs ($14,000/yr per family), due to aging population and high technology -low access (pre-existing conditions, small businesses, lifetime limits, self-employeed) -1/7 have no insurance (but old and poor do! Plus many with particular diseases)…they just go to the emergency room, which then charges higher rates on their paying patients. Medicare = 47 million. Mainly seniors ages 65 and older, but also 8 million younger adults with permanent disabilities. Before Medicare was signed into law in 1965, about half of all seniors lacked hospital insurance. Today, virtually all people ages 65 and over are covered by Medicare. Medicaid and the State Children’s Health Insurance Program (SCHIP) = 63 million Created by Congress in 1965, Medicaid is a public insurance program that provides health coverage to low-income families and individuals, including children, parents, seniors, and people with disabilities. Medicaid is funded jointly by the federal government and the states. Each state operates its own Medicaid program within federal guidelines. Because the federal guidelines are broad, states have a great deal of flexibility in designing and administering their programs. As a result, Medicaid eligibility and benefits can and often do vary widely from state to state. In 2008, Medicaid is projected to provide health coverage for nearly 63 million low-income Americans over the course of the year, including 31 million children, 17 million adults (mostly low-income working parents), 6 million seniors, and 10 million persons with disabilities. In order to receive guaranteed federal funding, states must cover certain “mandatory” populations: * children under age 6 with income below 133 percent of the federal poverty line (in 2008, the poverty line was $17,600 for a family of three); * children aged 6-18 with income below the poverty line; * pregnant women with income below 133 percent of the poverty line; * parents whose income is within the state’s eligibility limit for cash assistance that was in place prior to welfare reform; and
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13b.+Health+Care+Finance -...

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