HEALTH CARELong Overdue for a Colonoscopy

Mark Scrimshire@ekivemarkHealthCamp Foundation

@ekivemark

“Find the Crack”

@ekivemark

http://healthca.mp

@ekivemark

Consumers are still kept in the dark

Joachim @ daysoff.wordpress.com

@ekivemark

http://healthca.mp

@ekivemark

Houston, we have a problem...

nasa.gov

@ekivemark

“NO ONE IS HAPPY WITH THE AMERICAN HEALTH-CARE

EXPERIENCE TODAY. IT IS AN EXPENSIVE, COMPLEX

SYSTEM TO WHICH PEOPLE RESORT ONLY WHEN A PROBLEM HAS GROWN

THREATENING.“BUSINESSWEEK

@ekivemark

We are not getting any younger

$0$1,500$3,000$4,500$6,000$7,500$9,000

Under 5 5 - 17 18 - 24 25 - 44 45 - 64 65+Annual Spend Per Person

Sour

ce: K

aise

r

The ChangingRegional AgeStructureThe term "demographictransition" refers to agradual processwhereby a societymoves from a situationof high rates of fertilityand mortality to one oflow rates. This transitionis characterized first bydeclines in infant andchildhood mortality asinfectious and parasiticdiseases are eradicated.Whole populationsbegin to age whenfertility rates declineand mortality rates atall ages improve.Successive birth cohortsmay eventually becomesmaller and smaller, asseen for North Americain 1980. If projecteddeclines in fertility andmortality throughout thehemisphere proceed asexpected, regionalpopulation agestructures will lose theirtriangular shape, andthe older portion of thepopulation will increase.

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1980%!&

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2025

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1980%!&

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2025

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1980%!&

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2025

South America

Male Female Male Female

North America

Male Female Male Female

Central America and the Caribbean

Male Female

Age

Age

Age

AgeMale Female

Age Age

PopulationAgeStructure:1980 and2025(In millions)

Millions

Sour

ce: C

ensu

s Bu

reau

Changing age distribution drives up cost by 22% per person

@ekivemark

$3,000

$6,000

$9,000

$12,000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Actual Health Expenditure Per CapitaProjected Health Expenditure Per Capita

Rising Health Care Costs

Source: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group

Actual Health Expenditure as percentage of Gross Domestic Product

13.0%

14.0%

15.0%

16.0%

17.0%

18.0%

$11,907

$ 7,421

%GDP

... But this is only half the story

HealthCare percentage of GDP in 2009

17.6%

Health Affairs Magazine

HealthCare spending breakdown (2005)

CBO.gov

Private54%

Public46%

Title

HealthCare spending breakdown (2005)

CBO.gov

Private Health37%

Out of Pocket13%

Other4%Public - Other

10%

Medicaid17%

Medicare18%

$

WHO...

$

WHO...Pays

$

WHO...Buys

$

WHO...Cares

@ekivemark

SpendingPopulation

Wellness Pyramid

Care

Manage

Prevent

AFFORDABLE CARE ACTGet the microscopes ready

MAKING SENSE OF

COMPLEXITY

Innovation and

Transparency

at the fore

@ekivemark

http://healthca.mp

mark@healthca,mp

Conversation fire starter