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Published byCornelius Patterson Modified over 9 years ago
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1 Common Challenges US and Canadian Health Care CSG – ERC August 9, 2011
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2 US Health System Accident of History Early USVeteran’s support 1930’sVeteran’s Administration 1940’sEmployer Sponsored Insurance 1965Medicare – over 65 Medicaid – low income 1997Children’s Health Insurance (CHIP) 2010Affordable Care Act
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3 Our Hodgepodge System Costs more than other OECD countries Doesn’t cover everybody Far from seamless Dismantling 80 years of a piecemeal policy approach tremendous challenge
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4 International Comparison of Spending on Health, 1980–2008 Average spending on health per capita ($US PPP) Total expenditures on health as percent of GDP Source: OECD Health Data 2010 (June 2010).
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5 Life Expectancy at Birth, 2007 * 2006 ** 2005 Source: OECD Health Data 2009 (June 2009). Years
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6 QUALITY COST ACCESS Balancing Needs and Viewpoints
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7 Let’s Look at Ourselves Canada 34 million 68% 15 – 64 16% over 65 81 – life expectancy @birth 81% population urban Source CIA World Factbook United States 313 million 67% 15 – 64 13% over 65 78 – life expectancy @ birth 82% population urban
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8 Out-of-Pocket Spending of $1,000 or More in the Past Year, by Income Note: Percentages adjusted based on logistic regression to control for health status, age, and—in the U.S.— insurance status. * Indicates significant within-country differences with below-average income (p < 0.05). Source: 2010 Commonwealth Fund International Health Policy Survey in Eleven Countries. (Adjusted) percent
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9 Challenges Changing demographics Cost Workforce Improving delivery of care
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10 Changing demographics Ethnicity Age Languages spoken Generations Attracting workforce to deliver care to changing demographics
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11 Cost CHALLENGES Aging Boomers will drive volume regardless of financing approach “80/20 rule” – lifestyle choices and chronic conditions Fragmented care Inefficient care – duplication etc.
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12 Workforce AAMC projects 91,500 shortage of physicians by 2020; nearly half primary care Health professionals are aging too! Supply and distribution problems BLS March 2011 healthcare sector added 37,000 new jobs – largest increase in any employment sector
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14 Looking Ahead - US Patient Centered Medical Home –Payment Reform –Scope of Practice Accountable Care Organizations –Team approach – best care, less spending –Evidence based medicine Technology –health information exchanges and electronic medical records Incentives – Loan Repayment
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15 CONTACT INFORMATION Paula K. Roy Executive Director Delaware Health Care Commission Margaret O’Neil Building 410 Federal St. Suite 7 Dover, DE 19901 302-739-2730 302-739-6927 fax Paula.roy@state.de.us www.dhcc.delaware.gov
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