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

Comparative HealthCare Systems Week of 3/8

by: Ashley Notetaker

Comparative HealthCare Systems Week of 3/8 PAM 3780

Marketplace > Cornell University > Political Science > PAM 3780 > Comparative HealthCare Systems Week of 3 8
Ashley Notetaker

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

-Covers lecture on 3/10 -Prelim was 3/8 -Lecture on 3/10 covers some material from exam
Comparative Health Care Systems
Nicolas Ziebarth
Class Notes
health, Public Health, PAM, healthcare systems, health care, Policy, medicare, medicaid, (s)chip
25 ?




Popular in Comparative Health Care Systems

Popular in Political Science

This 4 page Class Notes was uploaded by Ashley Notetaker on Thursday March 10, 2016. The Class Notes belongs to PAM 3780 at Cornell University taught by Nicolas Ziebarth in Spring 2016. Since its upload, it has received 20 views. For similar materials see Comparative Health Care Systems in Political Science at Cornell University.

Similar to PAM 3780 at Cornell

Popular in Political Science


Reviews for Comparative HealthCare Systems Week of 3/8


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: 03/10/16
⅜ ­ Exam 1  3/10 (Lecture 11)  Public Health Insurance in the US    Health Care Triangle  ­ This deals with the left­hand side of the traingle  ­ If you’re Republican, the percentage of NHD that goes to Public health insurance scares  you/makes you uneasy because there’s more money going to it    Overview  ● Medicare­​Elderly (50 mil)  ● Medicaid­​Poor (70 mil)  ● (S)CHIP­​Kids (basically Medicaid for kids) (8 mil)  ● ^For all of these things, you need to be active in order to get it. What is the problem with  this?  ○ Access/Knowledge of the Program  ○ Many uninsured people are eligible for Medicaid, but they just don’t know about it  ● Others    Just by looking at this you see why the US healthcare system is so disorganized and  uncoordinated­­there’s just so much going on (Prof: “I think this is why America has so many  issues”)    [Slide 5]    Medicare Key Facts  ● Finances Medical Care for:  ○ The elderly above 65  ○ The disabled  ○ People with end­stage renal disease  ● 1967: 20 mil  ● 2014: 50 mil  ○ ^The increase in enrollment is important to notice  ○ The public policy problem with this: Funding  [6]  ● Federal Program: ​ eligibility criteria and benefits are consistent(!) throughout the US  ● People over 65 get automatically enrolled universal health care  ● Single payer system! ​One federal agency responsible  ● Bernie Sanders:  ○ Wants to do a whole revamp of the system  ○ Is it doable?  ■ Probably not in the near­future  ■ Maybe its best to work with Obamacare and move step­by­step forward  towards it  ○ [Video]  ■ “Medicare for all”  ○ Prof: Yea it may not be super­possible, but at least it’s good to know that he has  a vision  ● Medicare A­​Inpatient Care  ● Medicare B­​Outpaient Care  ● Medicare C​­Supplementary (Substitute for A+B)  ○ Difference between A+B: C is privately funded  ■ You get a private insurance  ■ Managed Care  ○ What’s the trade­off?  ■ They brought C in in the 90s because they were hoping more people  would switch to use it and then ease the burden off of gov’t money and  switch the burden to private sector  ■ A+B benefits: you don’t have to worry about provider network, you can go  wherever you want BUT you have higher deductible and cost­sharing  ■ C has lower cost­sharing   [Donald Trump Video]  ­ Supporting single­payer system  ­ Republicans: many would argue that we should get rid of Medicare  [Golden Girls Clip]    Medicare Part A (Hospital Insurance): Financing  ● Financed through payroll taxes (contribution rate) [Equal rates from all employees, not  different percentages depending on different levels of income]  ● Employers and employees both pay 1.45% of the employee’s gross wage  ● mandatory tax paid by all working individuals (also self­employed) and covers all  earnings  [Sidebar: discussed calculating contribution rates, gross wage v net wage]    [8]  Medicare Part A: Premiums    [9]    Medicare Part B: SMI: Financing & Premiums  ● Financed by taxes and income­based premiums  ● Covers outpatient care  ● Most people will pay $115 per month  ● BUT if you’re pretty rich, you’ll pay $369  ● Deductible: $162 annually  ● coinsurance: 80/20 (50/50 for outpatient mental health)  [10]  Graph: Medicare has a problem  ­ Problem: more beneficiaries and fewer number of working people per beneficiary  ­ Possible solutions:  ­ Increase eligibility age  ­ Increase contribution rate  ­ Cut the benefits offered, or make the beneficiaries pay more    Medicare Part C:   ­ 30% of Medicare beneficiaries  ­ offers additional benefits and lower out­of­pocket expenses  ­ Trade off: More benefits and lower cost­sharing v. provider networks and managed care    Medicare Part D:   ­ Covers prescription drugs  ­ Enacted in 2003  ­ 2012: 31 million enrollees  ­ Not super easy to sign up for this  ­ Google more on this    [16]  Medicaid:   ● Covers the poor (70 million enrollees)  ● A big element of Obamacare=expansion of Medicaid  ○ Used to be a state­run program so there were all different regulations on who  could get it. Obamacare makes it a little more regulated  ● Means­tested state­level program: e ​ligibilty criteria and benefits are not consistent  across the US  ● Technically the states give private insurance some sort of regulations for it  ○ As a state you can either directly control payment for it or have insurance  companies cover it  [17]    The expenditures don’t match the demographic of the enrollees  The 5% of the sickest people in the country use 50% of the healthcare     [19]    majority of uninsured people=poor  The issue: the supreme court said that the federal government can’t set what the threshold is for  eligiblity for Medicaid    [20]  [21]  Now the problem is that the uninsured people in these states are still remaining uninsured  Coverage Gap​ : Now that it is possible for republican states to deny the expansion, there is a  whole middle group of people that still remain uninsured (and in the rain)     [Colbert Report Video: Health Care Lottery]    *He’ll post the “others” part of the outline, but we won’t need to know it for the exam*    (S)CHIP:  ­ Covers children  ­ closely linked to Medicaid  ­ more generous than Medicaid  ­ financial eligibility more generous  ­ Doesn’t cover parents or adults  ­ [25] enrollment has risen over time  ­ [26]​Means tested  ­ [27] Even if your income may be kinda high, you could still be eligibile  ­ [28] ACA prohibits restricting SCHIP     


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

Jim McGreen Ohio University

"Knowing I can count on the Elite Notetaker in my class allows me to focus on what the professor is saying instead of just scribbling notes the whole time and falling behind."

Kyle Maynard Purdue

"When you're taking detailed notes and trying to help everyone else out in the class, it really helps you learn and understand the I made $280 on 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.