Introduction to health care financing

Introduction to health care financing - Health Care...

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Unformatted text preview: Health Care Financing: Introduction IPE 350 Health Care System and Health Promotion 1 PATIENTS Transportation Financing Health professional s Health care organizations Public health Vendor s Health Care System Policy regulations Economics Population demographic s Societal values Politics New knowledg 2 Objectives Development of reimbursement strategies as cost control measures 1. Describe the evolution of health care insurance reimbursement. 2. Identify the factors that influenced the evolution of health care insurance coverage and reimbursement. 3. Describe the various forms of managed care. 4. Discuss the change in provider patient relationship with introduction of managed care. Compare with current Affordable Care Act 1900 -1920s Health care participants were 2 parties: patients and physicians Calls for national health care reform Advent of private employer-based health insurance plans Baylor U Hospital plan – birth of Blue Cross 4 1930s-1940s Social Security Act passed without health insurance component (1935) 1939 – Blue Shield Insurance program initiated (physician services) 1943 – Health insurance as an employment fringe benefit 5 1950s-1960s Era of the “Great Society” emphasizing civil rights Public support for health care as a right - Those outside the workplace have difficulty affording insurance. National Health Insurance Many efforts to enact various forms of compulsory health insurance during this period Medicare and Medicaid passed (1965) 6 Medicare and Medicaid Amendments to Social Security Act Title 18 Medicare Helps to provide health care for those over 65 and designated as permanently disabled if under 65 and later those with end-stage renal disease and ALS Title 19 Medicaid Helps to provide health care for the poor 7 Effects of Medicare and Medicaid On individuals On providers On health care system On country 8 1970s...
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This note was uploaded on 03/27/2012 for the course HEALTH 350 taught by Professor Cooper during the Spring '12 term at MO St. Louis.

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Introduction to health care financing - Health Care...

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