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HEALTH CARE
    Long Overdue for a Colonoscopy

Mark Scrimshire
@ekivemark
HealthCamp Foundation
@ekivemark




                     “F
                        ind
                            the
                                  Cr
                                    ack
                                          ”

http://healthca.mp
@ekivemark




                                      Consumers
                        are still kept in the dark
   http://healthca.mp                 Joachim @ daysoff.wordpress.com
@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                                           South America

          We are not getting any younger The Ch
                                   1980                                                2025
                      Male           Age      Female                       Male         Age              Female
                                     80+                                                 80+
                                    75-79                                               75-79
                                    70-74                                               70-74


                      $9,000
                                    65-69
                                    60-64
                                    55-59
                                                                                        65-69
                                                                                        60-64
                                                                                        55-59
                                                                                                                                              Region
                      $7,500
                                    50-54
                                    45-49
                                                                                        50-54
                                                                                        45-49
                                                                                                                                              Structu
                                    40-44                                               40-44
                      $6,000        35-39                                               35-39
                                    30-34                                               30-34
                                                                                                                        The term
ulation               $4,500        25-29
                                    20-24
                                                                                        25-29
                                                                                        20-24
                                                                                                                        transition




                                                                                                 Source: Kaiser
                                    15-19                                               15-19
                      $3,000        10-14                                               10-14
                                                                                                                        gradual p
                                     5-9                                                 5-9
                      $1,500                                                                                            whereby
ucture:     20   15     10    5  0
                                     0-4
                                           0     5   10   15    20      20    15 10    5
                                                                                         0-4
                                                                                            0       0    5   10   15 20
                           $0                                                                                           moves fro
0 and                      Under 5           5 - 17     18 - 24        25 - 44      45 - 64           65+               of high ra
5                                                        Annual Spend Per Person
                                                          North America                                                 and mort
 ions)                                                                                                                  low rates.
                                   1980                                                     2025                        is charac
                       Male                        Female                        Male                      Female
                                      Age
                                      80+
                                                                                               Age
                                                                                               80+
                                                                                                                        declines i
                                     75-79
                                     70-74
                                                                                              75-79
                                                                                              70-74
                                                                                                                        childhood
                                     65-69
                                     60-64
                                                                                              65-69
                                                                                              60-64
                                                                                                                        infectious
                                     55-59                                                    55-59                     diseases




                                                                                                                      Source: Census Bureau
                                     50-54                                                    50-54
                                     45-49
                                     40-44
                                                                                              45-49
                                                                                              40-44
                                                                                                                        Whole po
                                     35-39
                                     30-34
                                                                                              35-39
                                                                                              30-34
                                                                                                                        begin to a
                                     25-29
                                     20-24
                                                                                              25-29
                                                                                              20-24
                                                                                                                        fertility ra
                                     15-19
                                     10-14
                                                                                              15-19
                                                                                              10-14
                                                                                                                        and mort
                                      5-9
                                      0-4
                                                                                               5-9
                                                                                               0-4
                                                                                                                        all ages im
            20   15     10    5    0       0     5   10   15    20      20    15 10    5    0       0    5   10   15 20 Successiv
                                                                 Millions                                               may even
                                             Central America and the Caribbean                                          smaller a
         Changing age             distribution drives up cost by 22% per person for N
                                   1980                                                      2025
                                                                                                                        seen
                                                                                                                        in 1980.
                       Male          Age       Female                      Male         Age                  Female
@ekivemark

                 Rising Health Care Costs
$12,000
                                                                                                                                                               18.0%


 $9,000
                                                                                                                 %GDP                                          17.0%


                                                                                                                                                               16.0%
 $6,000




                                                                                                                                                     $11,907
                                                                                        $ 7,421
                                                                                                                                                               15.0%


 $3,000                                                                                                                                                        14.0%


                                                                                                                                                                13.0%
                                                                                                                 2014 2015 2016
                                                                                        2009 2010 2011 2012 2013
                                2000     2001    2002     2003 2004 2005 2006 2007 2008
          1997   1998   1999                                                           Actual Health Expenditure as percentage of Gross Domestic Product
           Actual Health Expenditure Per Capita
           Projected Health Expenditure Per Capita



                                                                     ... But this is only half the story
                             Source: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group
17.6%

                          HealthCare percentage of GDP in 2009


Health Affairs Magazine
Title




      Public
       46%             Private
                        54%




                       HealthCare spending breakdown (2005)


CBO.gov
Medicare
      18%
Medicaid        Private Health
 17%                 37%

              Other
Public - Other 4%
     10%         Out of Pocket
                    13%




                   HealthCare spending breakdown (2005)


CBO.gov
WHO...

         $
WHO...
     Pays
            $
WHO...
     Buys
            $
WHO...
     Cares
             $
@ekivemark

             Wellness Pyramid



                            Ca
                              re

                                   M
                                    an
                                       ag
                                         e
                                             Pr
                                               ev
                                                 en
                                                 t
             Pop
                 ulat
                      ion       pen ding
                               S
AFFORDABLE CARE ACT
    Get the microscopes ready
MAKING SENSE OF
  COMPLEXITY


         Innovation and
         Transparency
         at the fore
@ekivemark




                         Conversation fire starter




                               mark@healthca,mp



    http://healthca.mp

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Health Care - Long overdue for a Colonoscopy

  • 1. HEALTH CARE Long Overdue for a Colonoscopy Mark Scrimshire @ekivemark HealthCamp Foundation
  • 2. @ekivemark “F ind the Cr ack ” http://healthca.mp
  • 3. @ekivemark Consumers are still kept in the dark http://healthca.mp Joachim @ daysoff.wordpress.com
  • 4. @ekivemark Houston, we have a problem... nasa.gov
  • 5. @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
  • 6. @ekivemark South America We are not getting any younger The Ch 1980 2025 Male Age Female Male Age Female 80+ 80+ 75-79 75-79 70-74 70-74 $9,000 65-69 60-64 55-59 65-69 60-64 55-59 Region $7,500 50-54 45-49 50-54 45-49 Structu 40-44 40-44 $6,000 35-39 35-39 30-34 30-34 The term ulation $4,500 25-29 20-24 25-29 20-24 transition Source: Kaiser 15-19 15-19 $3,000 10-14 10-14 gradual p 5-9 5-9 $1,500 whereby ucture: 20 15 10 5 0 0-4 0 5 10 15 20 20 15 10 5 0-4 0 0 5 10 15 20 $0 moves fro 0 and Under 5 5 - 17 18 - 24 25 - 44 45 - 64 65+ of high ra 5 Annual Spend Per Person North America and mort ions) low rates. 1980 2025 is charac Male Female Male Female Age 80+ Age 80+ declines i 75-79 70-74 75-79 70-74 childhood 65-69 60-64 65-69 60-64 infectious 55-59 55-59 diseases Source: Census Bureau 50-54 50-54 45-49 40-44 45-49 40-44 Whole po 35-39 30-34 35-39 30-34 begin to a 25-29 20-24 25-29 20-24 fertility ra 15-19 10-14 15-19 10-14 and mort 5-9 0-4 5-9 0-4 all ages im 20 15 10 5 0 0 5 10 15 20 20 15 10 5 0 0 5 10 15 20 Successiv Millions may even Central America and the Caribbean smaller a Changing age distribution drives up cost by 22% per person for N 1980 2025 seen in 1980. Male Age Female Male Age Female
  • 7. @ekivemark Rising Health Care Costs $12,000 18.0% $9,000 %GDP 17.0% 16.0% $6,000 $11,907 $ 7,421 15.0% $3,000 14.0% 13.0% 2014 2015 2016 2009 2010 2011 2012 2013 2000 2001 2002 2003 2004 2005 2006 2007 2008 1997 1998 1999 Actual Health Expenditure as percentage of Gross Domestic Product Actual Health Expenditure Per Capita Projected Health Expenditure Per Capita ... But this is only half the story Source: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group
  • 8. 17.6% HealthCare percentage of GDP in 2009 Health Affairs Magazine
  • 9. Title Public 46% Private 54% HealthCare spending breakdown (2005) CBO.gov
  • 10. Medicare 18% Medicaid Private Health 17% 37% Other Public - Other 4% 10% Out of Pocket 13% HealthCare spending breakdown (2005) CBO.gov
  • 11. WHO... $
  • 12. WHO... Pays $
  • 13. WHO... Buys $
  • 14. WHO... Cares $
  • 15. @ekivemark Wellness Pyramid Ca re M an ag e Pr ev en t Pop ulat ion pen ding S
  • 16. AFFORDABLE CARE ACT Get the microscopes ready
  • 17. MAKING SENSE OF COMPLEXITY Innovation and Transparency at the fore
  • 18. @ekivemark Conversation fire starter mark@healthca,mp http://healthca.mp