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 transcript:

Chapter 14 Financing

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)

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)

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

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

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

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

Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.8 Growth in Medicare Enrollment in Millions

Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.9 Medicare HMO Enrollment in Millions

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

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

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

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