Health System Reform in the USA – What Medical Students Need to .ppt

Intrade: Individual Mandate to be ruled unconstitutional by US Supreme Court…. before midnight ET 31 Dec 2012 25.0%chance /v4/markets/contract/?contractId=745353 before midnight ET 31 Dec 2013 42.0%chance /v4/markets/contract/?contractId=745354 P. Rosenau; US Health Reform 2011 * If the Mandate Is Unconstitutional …. Pressure from insurers is on! Congress could fix it…. Buy now or pay more later ; late enrollment penalties, no uncompensated care reimbursed Open enrollment expanded to two years or longer (Uccello) Opt out without a penalty, for 5 years but results in big limits on individual (Starr) Encourage the states to adopt a mandate. Good luck…. Status quo – not required to purchase but 2 year preexisting conditions in effect P. Rosenau; US Health Reform 2011 * Conclusion: Important Points: The most important element in the reform bill that has not received much attention: insurance regulation! Health system reform is never final But the current legislation sets the basis for future change Legislation is constantly being revised after it is adopted The rules for implementation are very important; many are still being written and some are already being changed Are stakeholders supporting legislation: that they can live with? that they think they can weasel out of, get around, find loopholes in, etc? P. Rosenau; US Health Reform 2011 * * * Talk about it but have slide up :we pay more per person than any other country in the world - A * * Article Citation: Research Papers Medical Spending Differences in the United States and Canada: The Role of Prices, Procedures, and Administrative Expenses Alexis Pozen and David M. Cutler Abstract The United States far outspends Canada on health care, but the sources of additional spending are unclear. We evaluated the importance of incomes, administration, and medical interventions in this difference. Pooling various sources, we calculated medical personnel incomes, administrative expenses, and procedure volum