New User Special Price Expires in

Let's log you in.

Sign in with Facebook


Don't have a StudySoup account? Create one here!


Create a StudySoup account

Be part of our community, it's free to join!

Sign up with Facebook


Create your account
By creating an account you agree to StudySoup's terms and conditions and privacy policy

Already have a StudySoup account? Login here


by: Elva Sawayn


Elva Sawayn
GPA 3.82


Almost Ready


These notes were just uploaded, and will be ready to view shortly.

Purchase these notes here, or revisit this page.

Either way, we'll remind you when they're ready :)

Preview These Notes for FREE

Get a free preview of these Notes, just enter your email below.

Unlock Preview
Unlock Preview

Preview these materials now for free

Why put in your email? Get access to more of this material and other relevant free materials for your school

View Preview

About this Document

Class Notes
25 ?




Popular in Course

Popular in Health Policy And Management

This 6 page Class Notes was uploaded by Elva Sawayn on Saturday September 12, 2015. The Class Notes belongs to HPAM 7600 at University of Georgia taught by Fertig in Fall. Since its upload, it has received 52 views. For similar materials see /class/201997/hpam-7600-university-of-georgia in Health Policy And Management at University of Georgia.

Popular in Health Policy And Management




Report this Material


What is Karma?


Karma is the currency of StudySoup.

You can buy or earn more Karma at anytime and redeem it for class notes, study guides, flashcards, and more!

Date Created: 09/12/15
Organization of Public Health in the US HPAM 7600 Historical Overview Priorto about 1910 doctors did not really benefit patients so costs were ow Many hospitals were built in the 205305 and patients started to not be able to pay Hospitals started hospital cost prepayment plans to groups of employees teachers etc called Blue Cross in the 19305 Hospitals set up to treat acute problems infections trauma not well adapted for chronic problems of today History continued During WWII freeze on wages and prices so firms trying to attract workers offered health insurance Government became involved in 1953 federal Department of Health Education and Welfare 1965 Medicare and Medicaid implemented VW health care for military Major Attempts at Reform 1935 National health insurance dropped from Social Security Act 1945 Truman tried for national health insurance and faile 1974 22 different bills for expanding public insurance under consideration no one plan dominated and health reform was dropped 1993 Clinton s Health Security Plan failed Historical Views on National Insurance Large firms afraid of govt meddling small firms against employer mandates Insurers want the business so against Physicians AMA afraid of govt meddling Labor unions supported it so they wouldn t have to negotiate for health benefits PharMA afraid of drug price setting Current US System Overview Thirdparty payer system not single payer Patient is consumer Physician or hospital is provider Insurance company is payer Mix of feeforservice and managed care schemes capitation etc Power struggle between providers and rs Insurance What is insurance If one of us will have 3000 injury this year with equal probability then if we each gave 100 25 of us we could insure us all from the majority of the cost De nitions Premium pay some amt for insurance 100 Coverage amount insured for 2500 Copayment amt payment you make when each event happens 50 Deduct ble must pay this amt rst before insurance applies 150 Coinsurance required to pay a fraction of the cost if the event happens 10 300 Two problems with insurance Moral hazard is the increased usage of services when their costs are low due to insurance Adverse selection is the tendency for people who need insurance the unhealthy to be more likely to have insurance More generally it involves splitting the risk pool because people have a choice about insurance FeeforService and Managed Care Feeforservice induces moral hazard supplier induced demand MC deals with moral hazard changes the incentives of patients and providers through a variety of interventions Capitation pay provider per patient whether hey use care or no Gatekeeper must see primary physician before you can see specialist Current US System Overview continued Mostly employerprovider private insurance although this is declining Medicare and MedicaidSCHIP Safety net providers local hospitals and clinics Special systems for specific groups veterans military Distribution by Insurance Status Employer 159m 54 Individual private 15m 5 Medicare 35m 12 Medicaid 38m 13 ChampusNAmilitary 3m 1 Uninsured 47m 16 28 of children covered by MedicaidSCHIP Source httplstatehealthfactsorg Employers Employers amp health insurance coverage Tax subsidy Insurance premiums paid directly by worker are exempt 39om federal and state income tax and from Social Security and Medicare payroll taxes Insurance premiums paid by employer are exempt from payroll taxes Subsidy is slightly more than 200 billion in 2006 Favors rich over poor big employers over self employe Impact of tie between employers and insurance Employers negotiate lower group rates than individuals can get Reduces adverse selection because choose job not insurance p an Reducesjob mobility early retirement for fear of losing insurance Employees perceive benefits as free amp demand more when they are really paying for them with lower wages Why should employers care about health Healthy employees Attract productive job applicants Investing in community health Is a corporate social responsibility Develops future work rce Improves reputation What can employers do Push for higher quality care eg Leapfrog Group Reduce riskprofile of employees smoke free policies discourage drinking reduce stress exercise facilities healthy food options nearby Workplace safety programs OSHA However When costs are rising employers drop health insurance coverage Figure 7 Numhcr Uninsured and Uninsured Ram 1937 in was New l5 l39 9 mm


Buy Material

Are you sure you want to buy this material for

25 Karma

Buy Material

BOOM! Enjoy Your Free Notes!

We've added these Notes to your profile, click here to view them now.


You're already Subscribed!

Looks like you've already subscribed to StudySoup, you won't need to purchase another subscription to get this material. To access this material simply click 'View Full Document'

Why people love StudySoup

Bentley McCaw University of Florida

"I was shooting for a perfect 4.0 GPA this semester. Having StudySoup as a study aid was critical to helping me achieve my goal...and I nailed it!"

Amaris Trozzo George Washington University

"I made $350 in just two days after posting my first study guide."

Steve Martinelli UC Los Angeles

"There's no way I would have passed my Organic Chemistry class this semester without the notes and study guides I got from StudySoup."


"Their 'Elite Notetakers' are making over $1,200/month in sales by creating high quality content that helps their classmates in a time of need."

Become an Elite Notetaker and start selling your notes online!

Refund Policy


All subscriptions to StudySoup are paid in full at the time of subscribing. To change your credit card information or to cancel your subscription, go to "Edit Settings". All credit card information will be available there. If you should decide to cancel your subscription, it will continue to be valid until the next payment period, as all payments for the current period were made in advance. For special circumstances, please email


StudySoup has more than 1 million course-specific study resources to help students study smarter. If you’re having trouble finding what you’re looking for, our customer support team can help you find what you need! Feel free to contact them here:

Recurring Subscriptions: If you have canceled your recurring subscription on the day of renewal and have not downloaded any documents, you may request a refund by submitting an email to

Satisfaction Guarantee: If you’re not satisfied with your subscription, you can contact us for further help. Contact must be made within 3 business days of your subscription purchase and your refund request will be subject for review.

Please Note: Refunds can never be provided more than 30 days after the initial purchase date regardless of your activity on the site.