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14 Cards in this Set

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1970-1990 Hospitals
Hospitals receive 40 percent of healthcare expenditures

1998 is 33 percent because of decrease in inpatient services
Physicians
MD and DO receive 20 percent of healthcare costs

remains steady because of broad license
Others (Allied Health Services)
1960 = 2.8 percent

1998 = 5.8 percent

Nurse Practitioners
Nursing Homes
1960 = 3.2 percent

1998 = 7.6 percent

more nursing homes, more nursing beds
Bed availability ratio
1976 = 681 beds per 1000 over 85 years

1998 = 447 beds per 1000 pop over 85 years
Major International Drug Corporations
1960 = 15.8 percent
1985 = 8.6 percent
1998 = 10.6 percent

Why? Elderly

13 percent of the population
42 percent of drug expenditures
Increase in percent spent on health services
Increase in per capital spending
Increase in total federal spending
Relationship to cost of medical care
HMOS
capitate per patient not like the old days per treatment and procedure
Who pays for healthcare expenditures?
34 percent are paid by households

26 percent by business

2.5 percent non-patient revenues

37 percent by public payors
Households
Out of Pocket spending > 50 percent

All the trust funds, supplemental insurance and premiums
Private Business
[range from lowest to highest]
In house health services
workmans compensation
medicare
private health insurance premiums
Non patient revenues, who pays?
Philanthropists and Donations
The public payors
56 percent paid by the federal government

44 percent paid by the state and local employees health
Changing the health care system is TOUGH
-Huge advances in science = -huge advances in costs,
-slight decreases, in giving out equals huge in making people pay out of pocket expenditures

referendum, voter perspective?

increased quality for decreased costs; little incentive to vote FOR change.