NHE
-the total amount of money spent on healthcare in the united states
-has been growing since 1960; rate of growth has slowed since early 2000s
increased wealth, general inflation, aging population, social insurance programs
What are some factors contributing to the high rate of growth in healthcare costs?
Moral Hazard
-effect of insurance increases utilization
Recession
Why did growth rate decrease from 2008-2011?
ACA
Why did growth increase from 2014-15?
slowing of medicare/medicaid spending growth, effect of managed care, recession, increased out-of-pocket costs
Why has National healthcare spending slowed since early 2000s?
Effect of Managed Care
movement towards a more planned, controlled, and coordinated provision of medical services
total NHE/ total population
How is per capita NHE calculated?
Private insurance
Who is the largest source of healthcare spending?
aging population & medicaid expansion
Why is public spending increasing?
individual mandate in ACA
Why is private spending increasing?
10%
Spending on Rx drugs accounts for only about _____ of NHE
26-35
What is the age range for our highest proportion of uninsured people?
26
The ACA allows individuals to be covered by their parents insurance up to the age of ______
Underinsured
-individuals who have high deductibles or out-of-pocket medical costs relative to their income
-often employed and have private employer-sponsored health insurance plans
-it is estimated that 29% of the population fit this category in 2018
Quality
-the reduction of preventable errors and reduced variability in evidence-based best practices
The National Quality Forum
defines healthcare quality as receiving the 'right services at the right time, and in the right way to achieve the best possible health'
DALY
Lower rates of ______ indicate improvement in preventing, treating, and curing diseases or reducing known risk factors.
Social determinants of health
the term used to describe the influence of social and geographic factors on health
qualified human resource, innovation, wide range of choices, high number of export revenue, investment
What is the US doing RIGHT in terms of healthcare?
high NHE, high administrative costs, disparities, poor health practices
What is the US doing WRONG in terms of healthcare?