MHA 708 CHAPTER 5 HEALTH POLICY RELATED TO FINANCING
AND DELIVERY EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
How Healthcare Is Financed in the United StatesHealthcare Insurance
•Private health insurance – 62% coverage
•Public health insurance – 28 % coverage
What is public health insurance
•Medicare
•Medicaid
•Children's Health Insurance Program (CHIP)
Impact of Healthcare Reform
< 26 y.o. could be on parent's plan
ACA Marketplace Plans introduced
Pre-existing conditions "eliminated"
Uninsured at < 9 % after ACA
How Healthcare Is Financed in the United States Healthcare Spending
•National health expenditures
•18.5 % of gross domestic product (GDP). Book quotes a COVID-inflated 19.2 % in
2020.
•Per capita spending of $12,530 in 2020 – probably inflated as well due to COVID. Still,
much higher than most OECD countries
U.S. Payment Sources 2019
, Government = 40%
Medicare - 21%
Medicaid - 16%
Other - 3%
Private Health Insurance = 32%
OOP Care = 11%
Public Health and other public health- 3%
Investment - 5%
VA + Other third-party payer programs - 9%
U.S. Health Spending Distribution, by Category
Personal Health care expenditures = 85%
Public HC expenditures = 10%
Investments in HC = 5%
Where Does the $ Go?
Hospitals - 31%
Physicians - 20%
Rx - 10%
Nursing Homes/Home Health - 9%
Dental - 5%
Hospitals # and distribution
5000+
What is the distribution of hospitals
AND DELIVERY EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
How Healthcare Is Financed in the United StatesHealthcare Insurance
•Private health insurance – 62% coverage
•Public health insurance – 28 % coverage
What is public health insurance
•Medicare
•Medicaid
•Children's Health Insurance Program (CHIP)
Impact of Healthcare Reform
< 26 y.o. could be on parent's plan
ACA Marketplace Plans introduced
Pre-existing conditions "eliminated"
Uninsured at < 9 % after ACA
How Healthcare Is Financed in the United States Healthcare Spending
•National health expenditures
•18.5 % of gross domestic product (GDP). Book quotes a COVID-inflated 19.2 % in
2020.
•Per capita spending of $12,530 in 2020 – probably inflated as well due to COVID. Still,
much higher than most OECD countries
U.S. Payment Sources 2019
, Government = 40%
Medicare - 21%
Medicaid - 16%
Other - 3%
Private Health Insurance = 32%
OOP Care = 11%
Public Health and other public health- 3%
Investment - 5%
VA + Other third-party payer programs - 9%
U.S. Health Spending Distribution, by Category
Personal Health care expenditures = 85%
Public HC expenditures = 10%
Investments in HC = 5%
Where Does the $ Go?
Hospitals - 31%
Physicians - 20%
Rx - 10%
Nursing Homes/Home Health - 9%
Dental - 5%
Hospitals # and distribution
5000+
What is the distribution of hospitals
