1. Introduction Historical Trends of Financing Healthcare Effect of Healthcare Cost on Access to Care Delivery System: Continuum of Care Improving Care and Containing Cost

2. Historical Trends in Financing Health Care Costs and Spending Overall Spending U.S. Health care accounted for 7.2% of GDP in 1970 Since 1970 health care spending rose faster than GDP By 2016, health care spending will account for 19.6% of GDP

3. Historical Trends in Financing Health Care Costs and Spending

4. Patterns of Growth in Real per Capita Health Spending Growth in real per capita health spending is expected to remain well below average What reflects the projected slower growth in health spending The effect of slower growth in managed care

5. Effect of Healthcare Cost on Access to Care Geographical Access Physical Access

6. Effect of Healthcare Cost on Access to Care Financial Barriers Social Barriers

7. Impact of Health Care Costs on Service Delivery: Continuum of Care Prenatal & Postnatal Care Long-Term Care - Chronic Health Illness and Disability Medicare Home Health Care Nursing Homes

8. Impact of Health Care Costs on Service Delivery Continuum of Care Health Promotion - Live a Healthy Lifestyle Disease Prevention - Regular Check- Ups Primary Secondary Tertiary

9. Impact of Health Care Costs on Service Delivery: Continuum of Care

10. Developmental Disabilities Mental Health Disorders Military/Veterans Private Health Care Palliative Care Terminally Ill Hospice

11. Healthcare Cost Containment Methods Diagnostic Related Groups (DRGs) Managed Care- Health Insurances Health Maintenance Organizations (HMOs) Preferred Provider Organizations (PPOs) Point of Service (POS) Preventive Care Measures

12. Healthcare Cost Containment Methods Not-for-Profit Healthcare Agencies Medicaid/Medicare Quality of Care Improvements

13. Healthcare Cost Containment Methods Out-patient Settings Alternative Care Generic Medication

14. Recommendations for Improvement Enforce cost containment compliance, while enabling flexibility Reduce the burden of preventable disease Plan ahead and budget for healthcare

15. Conclusion The effectiveness of cost contain methods on the Healthcare system Learning from historical Trends in Financing Health Care Prenatal to Palliative services are vital to improving the Healthcare system Limited access to care due to cost, increases the numbers of those diagnosed with bad health

16. “The Possibilities of our Future Healthcare System”

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