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Chapter 14 Financing. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.2 Personal Health Care Expenditures, 1965 Physicians 20% Nursing.

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Presentation on theme: "Chapter 14 Financing. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.2 Personal Health Care Expenditures, 1965 Physicians 20% Nursing."— Presentation transcript:

1 Chapter 14 Financing

2 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.2 Personal Health Care Expenditures, 1965 Physicians 20% Nursing Homes 4% Home Health 0.2% Hospitals 34% Other 42% (total = $35.2 billion)

3 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.3 Personal Health Care Expenditures, 2001 Rx Drugs 11% Physicians 22% Other 26% Home Health 3% Nursing Homes 8% Hospitals 37% (total = $1.424 trillion)

4 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.4 Nursing Home Sources of Payment by Selected Years

5 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.5 Medicare and Medicaid Spending for Nursing Home Care, 1985-2000 $0 $10 $20 $30 in Millions 19851987198919911993199519971999 MedicareMedicaid

6 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.6 Home Health Sources of Payment by Selected Years

7 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.7 Medicare and Medicaid Spending for Home Health Care, 1985-2000 $0 $2,000 $4,000 $6,000 $8,000 $10,000 $12,000 $14,000 in Millions 198519881991199419972000 MedicareMedicaid

8 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.8 Growth in Medicare Enrollment 25 30 35 40 1984198719901993199619982000 in Millions

9 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.9 Medicare HMO Enrollment 1.8 1.3 1.5 2.2 2.5 2.9 3.7 4.8 5.7 6.5 6.2 5.8 5.2 0 1 2 3 4 5 6 7 in Millions 1990199219941996199820002002

10 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.10 Medicare Provider Payment Distribution for Selected Years

11 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.11 Medicaid Provider Payment Distribution for Selected Years

12 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.12 815 1,130 1,550 1,930 2,430 2,930 3,417 3,837 4,350 4,960 5,542 5,842 8,300 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 in Thousands 1987198919911993199519972001 Long-Term Care Insurance Policies Sold

13 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.13 Examples of Integrated Financing Systems CCRCs PACE S/HMOs State demonstrations

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