CatchMeIfYouCanHospitals,Physicians,andtheGameof.pptVIP

Catch Me If You Can: Hospitals, Physicians, and the Game of Medicare Payment Policy;Underlying Medical Inflation: The Rise and Fall (and Rise Again?) of Managed Care;Since 2001, on average . . . 5 million fewer jobs now provide health insurance in the U.S. the avg. cost of health insurance premiums has increased 59% (versus 10-12% in wages general inflation) employee contributions for health insurance have grown: by 57% for single coverage (total of $3,695 annually, 2004) by 49% for family coverage (total of $9,950 annually, 2004) avg. premium for family coverage ($14,565 projected, 2006) - A growing proportion of the overall increase in premiums for employers has been “shared” with employees, particularly those in small businesses.;Health Insurance Premiums Declining Coverage;Health Insurance Premiums Declining Coverage;Source: American Hospital Association’s Annual Survey of Hospitals (n=6,800 hospitals), 2005. Pearson’s correlation coefficients: 1984-1997: Medicare and Private ratios: r = -.86 1980-2003: Medicare and Private ratios: r = -.73 1984-1997: Medicaid and Private ratios: r = -.39 1980-2003: Medicaid and Private ratios: r = -.56;Cost-Shifting (or Cross-Subsidization);Source: Glenn Melnick, “Uninsured Americans,” Hearing Before the Subcommittee on Health of the Ways and Means, U.S. House of Representatives, 108th Cong., 2nd Sess. (9 March 2004);  Professor Melnick’s testimony from the Center for Health Financing, Policy and Management, School of Policy, Planning and Development, University of Southern California.Technical Note: Data are derived from the Medicare Prospective Payment System’s Impact File, Centers for Medicare and Medicaid Services (CMS, 2004), available at  /providers/hipps/ippspufs.asp, last visited October 1, 2004).; Source: MedPAC (June 2004);Source: CMS, Office of the Actuary, 2004.;;POLICY implications of the significant rise