Uninsured

HAS 4320

The quiz

http:www.pbs.org/newshour/health/uninsured

The Problem

42.6 million uninsured Health premiums continue to rise Job loss Inadequate Medicaid

Demographics

Full-time workers Poor or low income More minorities Charts…

Utah’s Uninsured

270,000 (non-elderly) 14.4%

Causes and Consequences

Small employers Premiums American beliefs Reduced access Life style Anxiety

Financial Consequences

Medical bills More needs Debt Collections Courts Bankruptcy Uninsured are overcharged

Day-to-day Struggles

Cost-benefit analysis Home remedies What would you give up?

Expectations and beliefs

Learned hopelessness Stigma Contradictions

Children without Insurance

1/3 Most breadwinners employed Medicaid issues Receive less care

Social Policy

Targeted services Employer-sponsored insurance Public programs Universal Coverage

National Health Insurance

Production efficiency Consumption efficiency Equity

Proposals

Single-payor Employer-mandated Refundable tax credits Medical savings accounts (MSA) Healthcare Act of 2003 The Health Coverage, Affordability,

Responsibility and Equity Act of 2003

CHIP (Utah)

Children’s Health Insurance Program Who is eligible 2003 Income guidelines When/How do I apply? How is CHIP paid for? What services?

Medicaid

Introduction Who is covered?

ChildrenAdultsElderlyDisabled

What services are covered?

Inpatient and outpatient hospital Physician, midwife, certified NP Lab and X-ray Nursing home and home health Screening, diagnosis and treatment for children Family planning Rural health clinics

How is it spent

50% + on acute care services 35% on long-term care

How is it delivered?

Managed care…