HCMG Midterm
208m6s
1. What are the 3 major character- decentralized structure, acute/episodic
istics of the US healthcare sys- care focus, significant real cost growth
tem?
2. What percentage of all health- 90 percent
care expenditures are insured
3. What are the 3 major reasons be- 1. rapid advances in medical technology,
hind significant real cost growth 2. increased demand for treatments, and
in healthcare expenditures in the 3. misalignment of financial incentives
US? that produce excessive costs
4. What are the 3 major healthcare payers, providers and patients
stakeholders
5. What are 4 types of payers in the government/taxpayers, employers, indi-
healthcare system vidual insurance, out of pocket
6. What percentage of healthcare 45-46%
spending is undertaken by the
government?
7. What percent of GDP do we 17.6%
spend on healthcare?
8. What percent of healthcare 80%
spending is to private providers?
9. What is the healthcare system Near universal access where case is
like in most developed coun- available to almost all residents
tries?
10. What is healthcare access in the insurance/ability to pay
US dependent on
11. What are the 2 types of public Medicare (65 or older, categorically dis-
programs that give the needy in- abled). Medicaid (low income)
surance?
12. Taxes from paycheck
, HCMG Midterm
208m6s
How do we pay for medicare and
medicaid?
13. What percent of medicare recipi- 80-90%
ents pay for supplemental cover-
age?
14. what percent of medicare costs 85%
is paid by the government
15. What are the 4 buckets of insur- Medicare, medicaid, no insurance, pri-
ance? vate insurance
16. What percent of non-elderly pop- 18-19%
ulation in the US have no insur-
ance?
17. What are the three components cost, access, and quality
of the iron triangle?
18. What are the principal drivers of incentives and costs
the US healthcare system?
19. What are the trends and issues in 1. aging population with more chronic
US today? diseases
2. rising demand for healthcare
3. increased pressure for cost contain-
ment
4. advances in technology will face more
intense competition for resources
5. will the emphasis on healthcare vs.
health persist?
6. more responsibility in the hands of
consumers or government? what will be
the effects?
20. What is national health expendi- Total value of all spending on health care
tures? in the US ($2486 billion in 2009)
21.
, HCMG Midterm
208m6s
What are the main components health consumption expenditures, gov-
of NHE? ernment administration and net cost of
private health insurance, public health,
and investment
22. What was the amount of health $2330 billion
consumption expenditures in
2009
23. What was the amount of govern- $163 billion
ment administration and net cost
of private HI?
24. What was the amount of spend- $77 billion
ing on public health?
25. what was the amount of health- $156 billion
care research in 2009?
26. What was the health expenditure $8086 million
per capita in the US in 2009?
27. What was GDP in 2009? 14,119 billion
28. What was the trend in US health US healthcare expenditures as a pro-
expenditures from 1961 to 2007? portion of GDP has grown much more
than nomainal and real GDP growth
29. What is the trend in NHE per capi- Has grown 3-fold from 1970 to 2007
ta over time?
30. What was significant about US US healthcare spending growth slowed
healthcare spending in 2008? to 4.4 percent - the slowest rate of
growth over the past 48 years.
31. What was national health spend- $2.3 trillion
ing in 2008?
32.
, HCMG Midterm
208m6s
What is the general pattern of Larger increases in health spending
healthcare spending as a share share of GDP generally occur during or
of GDP? just after periods of economic recession
33. What was the growth rate of 4 percent. 2.5 trillion.
US healthcare spending in 2009?
What was the absolute amount?
34. What happened to healthcare increased from 37.6 percent of total fed-
spending in the government from eral revenue in 2008 to 54.2 percent in
2008 to 2009? 2009.
35. How did the recession affect the slowed private health insurance spend-
different payers in the healthcare ing growth, reduced capital investment
system by healthcare providers, decreased out
of pocket spending by consumers, in-
creased federal health spending growth
36. What provider category ac- 30% = hospital care, 25% = physicians,
counts for the top US health con- 14% = nursing home, 11% = prescription
sumption expenditures in 2009? drugs
37. What percent of total US health- 7%
care expenditure goes to admin-
istrative costs
38. What has the trend been in Hospital category has gone down while
provider expenditures physician category has gone up
39. What has the expenditure by type percentage spending in each category
growth been like between 1997 has been consistent, with small spike in
and 2006? prescription drugs. From 6.9% - 10.3%
- probably caused by government pro-
gram for prescription drugs for old peo-
ple beginning in 2006.
40. How does US healthcare spend- a small proportion of the US popula-
ing break down by socioeconom- tion accounts for half of all US health-
ic levels? care spending. The 5% of the population
with highest health expenses ($14601
208m6s
1. What are the 3 major character- decentralized structure, acute/episodic
istics of the US healthcare sys- care focus, significant real cost growth
tem?
2. What percentage of all health- 90 percent
care expenditures are insured
3. What are the 3 major reasons be- 1. rapid advances in medical technology,
hind significant real cost growth 2. increased demand for treatments, and
in healthcare expenditures in the 3. misalignment of financial incentives
US? that produce excessive costs
4. What are the 3 major healthcare payers, providers and patients
stakeholders
5. What are 4 types of payers in the government/taxpayers, employers, indi-
healthcare system vidual insurance, out of pocket
6. What percentage of healthcare 45-46%
spending is undertaken by the
government?
7. What percent of GDP do we 17.6%
spend on healthcare?
8. What percent of healthcare 80%
spending is to private providers?
9. What is the healthcare system Near universal access where case is
like in most developed coun- available to almost all residents
tries?
10. What is healthcare access in the insurance/ability to pay
US dependent on
11. What are the 2 types of public Medicare (65 or older, categorically dis-
programs that give the needy in- abled). Medicaid (low income)
surance?
12. Taxes from paycheck
, HCMG Midterm
208m6s
How do we pay for medicare and
medicaid?
13. What percent of medicare recipi- 80-90%
ents pay for supplemental cover-
age?
14. what percent of medicare costs 85%
is paid by the government
15. What are the 4 buckets of insur- Medicare, medicaid, no insurance, pri-
ance? vate insurance
16. What percent of non-elderly pop- 18-19%
ulation in the US have no insur-
ance?
17. What are the three components cost, access, and quality
of the iron triangle?
18. What are the principal drivers of incentives and costs
the US healthcare system?
19. What are the trends and issues in 1. aging population with more chronic
US today? diseases
2. rising demand for healthcare
3. increased pressure for cost contain-
ment
4. advances in technology will face more
intense competition for resources
5. will the emphasis on healthcare vs.
health persist?
6. more responsibility in the hands of
consumers or government? what will be
the effects?
20. What is national health expendi- Total value of all spending on health care
tures? in the US ($2486 billion in 2009)
21.
, HCMG Midterm
208m6s
What are the main components health consumption expenditures, gov-
of NHE? ernment administration and net cost of
private health insurance, public health,
and investment
22. What was the amount of health $2330 billion
consumption expenditures in
2009
23. What was the amount of govern- $163 billion
ment administration and net cost
of private HI?
24. What was the amount of spend- $77 billion
ing on public health?
25. what was the amount of health- $156 billion
care research in 2009?
26. What was the health expenditure $8086 million
per capita in the US in 2009?
27. What was GDP in 2009? 14,119 billion
28. What was the trend in US health US healthcare expenditures as a pro-
expenditures from 1961 to 2007? portion of GDP has grown much more
than nomainal and real GDP growth
29. What is the trend in NHE per capi- Has grown 3-fold from 1970 to 2007
ta over time?
30. What was significant about US US healthcare spending growth slowed
healthcare spending in 2008? to 4.4 percent - the slowest rate of
growth over the past 48 years.
31. What was national health spend- $2.3 trillion
ing in 2008?
32.
, HCMG Midterm
208m6s
What is the general pattern of Larger increases in health spending
healthcare spending as a share share of GDP generally occur during or
of GDP? just after periods of economic recession
33. What was the growth rate of 4 percent. 2.5 trillion.
US healthcare spending in 2009?
What was the absolute amount?
34. What happened to healthcare increased from 37.6 percent of total fed-
spending in the government from eral revenue in 2008 to 54.2 percent in
2008 to 2009? 2009.
35. How did the recession affect the slowed private health insurance spend-
different payers in the healthcare ing growth, reduced capital investment
system by healthcare providers, decreased out
of pocket spending by consumers, in-
creased federal health spending growth
36. What provider category ac- 30% = hospital care, 25% = physicians,
counts for the top US health con- 14% = nursing home, 11% = prescription
sumption expenditures in 2009? drugs
37. What percent of total US health- 7%
care expenditure goes to admin-
istrative costs
38. What has the trend been in Hospital category has gone down while
provider expenditures physician category has gone up
39. What has the expenditure by type percentage spending in each category
growth been like between 1997 has been consistent, with small spike in
and 2006? prescription drugs. From 6.9% - 10.3%
- probably caused by government pro-
gram for prescription drugs for old peo-
ple beginning in 2006.
40. How does US healthcare spend- a small proportion of the US popula-
ing break down by socioeconom- tion accounts for half of all US health-
ic levels? care spending. The 5% of the population
with highest health expenses ($14601
