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In the U.S., the largest percentage of health care dollars are spent on: 1.Physicians 2.Nursing homes 3.Hospital care 4.Pharmaceuticals 5.Public Health.

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Presentation on theme: "In the U.S., the largest percentage of health care dollars are spent on: 1.Physicians 2.Nursing homes 3.Hospital care 4.Pharmaceuticals 5.Public Health."— Presentation transcript:

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4 In the U.S., the largest percentage of health care dollars are spent on: 1.Physicians 2.Nursing homes 3.Hospital care 4.Pharmaceuticals 5.Public Health 0% 42% 25% 33% 0%

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6 Fastest Responders (in seconds)

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9 16002 52359 91X27 57495 28135 Showcase Showdown What is the standard annual premium for Medicare Part B in 2013? Three Chances

10 Part B premiums by income 2013 Beneficiaries who file an individual tax return with income: Beneficiaries who file a joint tax return with income: Total monthly Part B premium amount Less than or equal to $85,000Less than or equal to $170,000$104.90 Greater than $85,000 and less than or equal to $107,000 Greater than $170,000 and less than or equal to $214,000$146.90 Greater than $107,000 and less than or equal to $160,000 Greater than $214,000 and less than or equal to $320,000$209.80 Greater than $160,000 and less than or equal to $214,000 Greater than $320,000 and less than or equal to $428,000$272.70 Greater than $214,000Greater than $428,000$335.70 5% increase from 2012.

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12 In the U.S., What percent of the GDP is spent on healthcare? 1.26 2.21 3.17 4.12 5.6 33% 42% 17% 8% 0%

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18 Fastest Responders (in seconds)

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20 Lipid Panel Basic Metabolic Panel Complete Metabolic Panel Complete Blood Count Thyroid Stimulating Hormone Hemoglobin A1c Showcase Showdown For a self pay patient, which are the three most expensive tests? 13948604412869 Quest Oct. 2012

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22 What is the population size needed to support one family physician? 1.1500 2.2500 3.3500 4.4500 5.5500 25% 17% 42% 0% 17%

23 Population ratio needed to support one physician FM: 2500 Peds: 6000 (2000 kids) IM: 3500 OB/Gyn: 6500 Gen. Surg: 12,800 Ortho: 16,800 Ophtho: 23,600 Cards: 25,500 Urology: 34,000 ENT: 35,400 Neuro: 40,700 GI: 41,100 Hem/Onc: 46,700 Pulm: 58,600 Nephro: 65,300 Rheum: 85,600 Allergy 93,800

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26 Showcase Showdown

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30 What percentage of Americans are uninsured? 1.3 2.7 3.13 4.16 5.21 0% 17% 42%

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32 Fastest Responders (in seconds)

33 Showcase Showdown

34 VaccineInsuranceSelf-Pay Td$18.74$38 DTaP$20.96$40 Tdap$39.93$57

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36 How much does the average employer pay annually for medical coverage for an employees family plan? 1.1,377 2.3,522 3.5,643 4.7,168 5.10,944 0% 8% 33% 25%

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38 Fastest Responders (in seconds)

39 Showcase Showdown What is the average cost of an Emergency Room visit? 2008 1 8 2 6 5 1 2 6 5

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41 How long does it take the average physician to get paid? Average days in accounts receivable (A/R) 1.4 days 2.14 days 3.34 days 4.54 days 0%

42 Days in A/R National Average is about 34 days – Multispecialty: 34.79 – Family Medicine: 32.69 – Cardiology: 34.58 MGMA 2011 Cost Surveys

43 Fastest Responders (in seconds)

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46 New Level 4 Established Level 4 Established Preventative 18-39 Visit Knee Aspiration 4132 $124$92$110$98 Physician Practice annual fee scale survey 2012

47 Code Average Reimbursement New Patient Visit 99201$51.10 99202$69.80 99203$95.76 99204$123.66 99205$145.11 Established Patient Visit 99211$29.99 99212$45.43 99213$66.87 99214$91.67 99215$111.20 Preventive <199391$91.59 Preventive 1-499392$99.06 Preventive 5-1199393$100.58 Preventive 12-1799394$100.58 Preventive 18-3999395$110.13 Preventive 40-6499396$121.62

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49 What was the average annual healthcare spending for a 23 year-old adult in 2008? 1.$1650 2.$1953 3.$2493 4.$5208 75% 25% 0%

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51 Fastest Responders (in seconds)

52 Showcase Showdown In 2010: Average Doctor Visit Co-pay Average Individual Deductable $23 $1025

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54 What percentage of Medicaid enrollees are children? 1.24 2.39 3.49 4.74 17% 67% 8%

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57 Fastest Responders (in seconds)

58 What is the average cost of one day in the hospital? Showcase Showdown 3253 2 1 4 4

59 HCUP National Inpatient Sample 20092010 Discharges:39,434,95639,008,298 Length of stay4.6 days4.7 days Charges:$30,655$33,079 Costs:$9,173$10,079 Cost per day:$1,994$2,144

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61 What percentage of U.S. physicians practice in primary care? 1.12 2.22 3.32 4.42 5.52

62 Percentage of physicians practicing primary care U.S.32% Spain33% Canada55% Australia70% Studies: 15% increase in primary care could decrease ED visits by 11%, cut surgeries by 7%, decrease hospital admits by 5.5%. (Craft) A 1% increase in primary care physician workforce reduces mortality by 5.3%. (Starfield)

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64 Showcase Showdown

65 insuredoruninsured ECG $56 Rounded to the nearest dollar Rapid Strep $14 Urine dip $5 Visual acuity $26 Pregnancy test $26 Peak flow $32

66 ECG 27.4356.00 Rapid Strep14.1535.00 Urine dip 5.3717.00 Visual acuity 0.0026.00 Pregnancy test 8.9026.00 Peak flow21.9532.00 insuredoruninsured

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68 What percentage of the U.S. is covered by Medicare? 1.5 2.10 3.15 4.20 0% 25% 33% 42%

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70 Fastest Responders (in seconds)

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73 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay Proscan 2011

74 $99 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay

75 $99$175 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay

76 $99$175$325 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay

77 $99$175$325$550 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay

78 $99$175$325$550$825 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay

79 $99$175$325$550$825$1230 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay

80 $99$175$325$550$825$1230$1550 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay

81 $99$175$325$550$825$1230$1550$2050 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay

82 $99$175$325$550$825$1230$1550$2050$3025 Showcase Showdown MRI of the knee w/o contrast Next game Self Pay

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84 Participant Scores

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86 A 50 y/o woman comes in for a Preventive visit. You order the following tests/etc. How much will this entire visit with screening tests/etc cost the healthcare system? She has commercial insurance. Colonoscopy Mammogram Pap smear Lipid panel Basic Metabolic Panel Tdap

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88 Invoice Cost will vary by insurer, region, and type of location. Preventive visit 40-64$ 122 Colonoscopy$1200 Mammogram$ 80 Pap smear$ 40 Lipid panel$ 19 Basic Metabolic Panel$ 12 Venipuncture$ 4 Tdap$ 38 1 st Immun. Admin. Fee$ 19 Total$1534

89 This is Bob Barker reminding you to help control the pet population; have your pet spayed or neutered.

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