HOUSE_OVERSIGHT_020990.jpg
1.78 MB
Extraction Summary
1
People
6
Organizations
0
Locations
0
Events
1
Relationships
3
Quotes
Document Information
Type:
Presentation slides / financial analysis
File Size:
1.78 MB
Summary
Two slides (pages 297 and 298) from a presentation titled 'USA Inc. | What Might a Turnaround Expert Consider?' authored by KPCB (Kleiner Perkins). The slides analyze US healthcare economics, specifically arguing that private payors subsidize government healthcare (Medicare/Medicaid) and illustrating a 'negative cycle' where cost-shifting leads to higher premiums and lower government reimbursement. The document bears a 'HOUSE_OVERSIGHT' Bates stamp, indicating it was part of a document production for a congressional investigation.
People (1)
| Name | Role | Context |
|---|---|---|
| Doug Simpson | Researcher |
Cited as source from Morgan Stanley Healthcare Research
|
Organizations (6)
| Name | Type | Context |
|---|---|---|
| KPCB |
Kleiner Perkins Caufield & Byers (logo on slides)
|
|
| Avalere Health |
Provided analysis of hospital data
|
|
| American Hospital Association |
Source of survey data
|
|
| Morgan Stanley Healthcare Research |
Source of the cycle chart
|
|
| USA Inc. |
Title in footer: 'USA Inc. | What Might a Turnaround Expert Consider?'
|
|
| House Oversight Committee |
Implied by Bates stamp 'HOUSE_OVERSIGHT'
|
Relationships (1)
KPCB slide cites Morgan Stanley research
Key Quotes (3)
"Rising Healthcare Costs Disproportionately Borne by Employers and Individuals"Source
HOUSE_OVERSIGHT_020990.jpg
Quote #1
"Over the last few decades, private payors ... have consistently paid more than government payors ... and have, in effect, subsidized government reimbursement."Source
HOUSE_OVERSIGHT_020990.jpg
Quote #2
"Differential Payment Rates Can Create a Negative Cycle Leading to Erosion of Private Healthcare Coverage and Higher Entitlement Spending"Source
HOUSE_OVERSIGHT_020990.jpg
Quote #3
Full Extracted Text
Complete text extracted from the document (1,488 characters)
Restructure Medicare & Medicaid: Economic Factors—
Rising Healthcare Costs Disproportionately Borne by Employers and Individuals
Rising Healthcare Costs Disproportionately Borne by Employers and Individuals
Over the last few decades, private payors (employer-sponsored health insurance plans) have consistently paid more than government payors (Medicare / Medicaid) and have, in effect, subsidized government reimbursement.
Healthcare Service Payment to Cost Ratio, 1990 - 2006
— Private Payor
— Medicare
— Medicaid
— Private Payor
— Medicare
— Medicaid
Payment to Cost Ratio
140%
130%
120%
110%
100%
90%
80%
70%
60%
1990 1992 1994 1996 1998 2000 2002 2004 2006
140%
130%
120%
110%
100%
90%
80%
70%
60%
1990 1992 1994 1996 1998 2000 2002 2004 2006
KP
CB www.kpcb.com
Source: Avalere Health Analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
USA Inc. | What Might a Turnaround Expert Consider? 297
CB www.kpcb.com
Source: Avalere Health Analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
USA Inc. | What Might a Turnaround Expert Consider? 297
Restructure Medicare & Medicaid: Differential Payment Rates Can Create a
Negative Cycle Leading to Erosion of Private Healthcare Coverage and
Higher Entitlement Spending
Negative Cycle Leading to Erosion of Private Healthcare Coverage and
Higher Entitlement Spending
5. Employers/
Consumers Drop
Insurance Coverage
Consumers Drop
Insurance Coverage
4. Higher Health
Insurance Premiums
Insurance Premiums
6. Increasing Number
of Uninsured
of Uninsured
3. Higher Private
Market Cost Trend
Market Cost Trend
7. Increasing Use of
Medicaid / Medicare
Medicaid / Medicare
2. Cost Shifting onto
the Private Market
the Private Market
8. Government
Reimbursement
Pressure Rises
Reimbursement
Pressure Rises
1. Providers Charge
Higher Prices to
Private Market than to
Government Market
Higher Prices to
Private Market than to
Government Market
9. Government Lowers
Reimbursement Rate to
Providers
Reimbursement Rate to
Providers
KP
CB www.kpcb.com
Source: Doug Simpson, Morgan Stanley Healthcare Research.
USA Inc. | What Might a Turnaround Expert Consider? 298
CB www.kpcb.com
Source: Doug Simpson, Morgan Stanley Healthcare Research.
USA Inc. | What Might a Turnaround Expert Consider? 298
HOUSE_OVERSIGHT_020990
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