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National Center for Policy Analysis Making Ideas Change the World Solving America’s Health Care Crisis Presentation to The National Congress on Health.

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Presentation on theme: "National Center for Policy Analysis Making Ideas Change the World Solving America’s Health Care Crisis Presentation to The National Congress on Health."— Presentation transcript:

1 National Center for Policy Analysis Making Ideas Change the World Solving America’s Health Care Crisis Presentation to The National Congress on Health Reform John C. Goodman September 22, 2008 National Center for Policy Analysis Making Ideas Change the World

2 National Center for Policy Analysis Making Ideas Change the World Problems Cost Cost Quality Quality Access Access

3 National Center for Policy Analysis Making Ideas Change the World Thinking About Health Care Queen of Hearts Seven Dwarfs Little Red Riding Hood

4 National Center for Policy Analysis Making Ideas Change the World Problems Cost Cost

5 National Center for Policy Analysis Making Ideas Change the World

6 National Center for Policy Analysis Making Ideas Change the World Medicare and Medicaid as a Percent of Federal Budget Source: Congressional Budget Office. Today2025 2050

7 National Center for Policy Analysis Making Ideas Change the World Marginal Federal Income Tax Rates Needed to Fund Current Federal Programs in 2050 Source: Congressional Budget Office. Upper-IncomeMiddle-Income

8 National Center for Policy Analysis Making Ideas Change the World Illusory Solution One-Time Cost Reduction

9 National Center for Policy Analysis Making Ideas Change the World Health Care Spending Time $ One Time Policy Change Old Spending Path New Spending Path

10 National Center for Policy Analysis Making Ideas Change the World Shifting Costs Illusory Solution

11 National Center for Policy Analysis Making Ideas Change the World Ratio of Physician Income to Average Worker Income Source: Uwe E. Reinhardt, Peter S. Hussey and Gerard F. Anderson, “Cross-National Comparisons Of Health Systems Using OECD Data, 1999,” Health Affairs, Vol. 21, No. 3, May/June 2002. United StatesGermanyCanadaSwedenUnited Kingdom

12 National Center for Policy Analysis Making Ideas Change the World Choosing between Health Care and Other Goods and Services Real Solutions

13 National Center for Policy Analysis Making Ideas Change the World From Hillary Care1.0 to Hillary Care2.0 Health Reforms That Don’t Work

14 National Center for Policy Analysis Making Ideas Change the World Problems Cost Cost Quality Quality

15 National Center for Policy Analysis Making Ideas Change the World Quality RAND study on Inadequate Care RAND study on Inadequate Care IOM Study on Medical Errors IOM Study on Medical Errors No Electronic Medical Records No Electronic Medical Records

16 National Center for Policy Analysis Making Ideas Change the World

17 National Center for Policy Analysis Making Ideas Change the World Why No Phone?

18 National Center for Policy Analysis Making Ideas Change the World Why No Email?

19 National Center for Policy Analysis Making Ideas Change the World Why No Computers?

20 National Center for Policy Analysis Making Ideas Change the World Why Not Better Drug Advice?

21 National Center for Policy Analysis Making Ideas Change the World Why No Patient Education?

22 National Center for Policy Analysis Making Ideas Change the World What is the Source of Every Major Problem?

23 National Center for Policy Analysis Making Ideas Change the World The Way We Pay Doctors

24 National Center for Policy Analysis Making Ideas Change the World Payment for Physicians’ Services 90% Third-Party Payers 10% Out-of- Pocket

25 National Center for Policy Analysis Making Ideas Change the World No Price Competition No Quality Competition

26 National Center for Policy Analysis Making Ideas Change the World Exceptions to the Rule Cosmetic Surgery Cosmetic Surgery

27 National Center for Policy Analysis Making Ideas Change the World Exceptions to the Rule Cosmetic Surgery Cosmetic Surgery Lasik Surgery Lasik Surgery

28 National Center for Policy Analysis Making Ideas Change the World Exceptions to the Rule Cosmetic Surgery Cosmetic Surgery Lasik Surgery Lasik Surgery Walk-in Clinics Walk-in Clinics

29 National Center for Policy Analysis Making Ideas Change the World Exceptions to the Rule Cosmetic Surgery Cosmetic Surgery Lasik Surgery Lasik Surgery Walk-in Clinics Walk-in Clinics Telephone Consultation – for pay Telephone Consultation – for pay

30 National Center for Policy Analysis Making Ideas Change the World Exceptions to the Rule Cosmetic Surgery Cosmetic Surgery Lasik Surgery Lasik Surgery Walk-in Clinics Walk-in Clinics Telephone Consultation – for pay Telephone Consultation – for pay Email Consultations – for pay Email Consultations – for pay

31 National Center for Policy Analysis Making Ideas Change the World Exceptions to the Rule Cosmetic Surgery Cosmetic Surgery Lasik Surgery Lasik Surgery Walk-in Clinics Walk-in Clinics Telephone Consultation – for pay Telephone Consultation – for pay Email Consultations – for pay Email Consultations – for pay Concierge Doctors Concierge Doctors

32 National Center for Policy Analysis Making Ideas Change the World Exceptions to the Rule Cosmetic Surgery Cosmetic Surgery Lasik Surgery Lasik Surgery Walk-in Clinics Walk-in Clinics Telephone Consultation – for pay Telephone Consultation – for pay Email Consultations – for pay Email Consultations – for pay Concierge Doctors Concierge Doctors Medical Tourism Medical Tourism

33 National Center for Policy Analysis Making Ideas Change the World Illusory Solution Paying for Performance

34 National Center for Policy Analysis Making Ideas Change the World Paying for Performance Buyers Setting the Quality Standards Illusory Solution

35 National Center for Policy Analysis Making Ideas Change the World Providers Compete for Patients Based on Price and Quality Real Solution

36 National Center for Policy Analysis Making Ideas Change the World From Hillary Care1.0 to Hillary Care2.0 Health Reforms That Don’t Work

37 National Center for Policy Analysis Making Ideas Change the World Problems Cost Cost Quality Quality Access Access

38 National Center for Policy Analysis Making Ideas Change the World

39 National Center for Policy Analysis Making Ideas Change the World Expanding Government Insurance Programs Illusory Solution

40 National Center for Policy Analysis Making Ideas Change the World Crowd Out: Percent of New Coverage Offset by a Decline in Private Coverage Source: Jonathan Gruber. Medicaid Expansion (Low Estimate) Medicaid Expansion (High Estimate) S-CHIP

41 National Center for Policy Analysis Making Ideas Change the World Creating Access to the Private Marketplace Real Solution

42 National Center for Policy Analysis Making Ideas Change the World From Hillary Care1.0 to Hillary Care2.0 Health Reforms That Don’t Work

43 National Center for Policy Analysis Making Ideas Change the World

44 National Center for Policy Analysis Making Ideas Change the World

45 National Center for Policy Analysis Making Ideas Change the World

46 National Center for Policy Analysis Making Ideas Change the World

47 National Center for Policy Analysis Making Ideas Change the World Remembering the Message Queen of Hearts Seven Dwarfs Little Red Riding Hood

48 National Center for Policy Analysis Making Ideas Change the World National Center for Policy Analysis Making Ideas Change the World

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