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1 of 36
Definition
•Financing —cost containment
•Regulatory approaches – Val ue-b ased Pur chasing , Pay-for -
Perf ormance (MIP s and APMs )
•Coming - gl ob al budgets, price fixing ( “negotia tion ”), singl e p ayer
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What are typical state public health Health Policy Issues Related to
system functions? Delivery
Who is eligible for Chip? Can states
Health Policy Issues Related to
expand the eligibility ? How many
Financing
children are uninsured?
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2 of 36
Term
What proportion of insured Americans have private health insurance
versus public insurance?
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hospitals 31%, doctors 20% 18.5% gdp
rx - 10%, rn homes/hh - 9% hc capita in 2020 -12,530 19.2%
dental 5% inflation due to covid
personal health exp 85%
62% - private
public health exp 10%
28% public
investments exp 5%
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3 of 36
Definition
Health Insurance Portability and Accountability Act
•Prohibits insurers from discriminating against their subscribers
through enrollment restrictions or prohibitively expensive premiums
assessed on the basis of health factors, including prior medical
conditions, previous claims, and genetic information
, •Allows certain individuals to enroll in group or individual health plans
following the loss of their employment-based coverage
•Mandated the development of personal health records to increase
patients’ access to their healthcare information and their sense of
ownership over the information; implemented data-breach
notification laws and other privacy protection mechanisms
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What is HIPAA? What is CHIP?
What is an ADL? What is Medicaid expansion?
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4 of 36
Term
What is the number one driver of HC costs?
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PRESSURE POPULATION
TASTE PRICE