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Business of Health faculty member reflects on creation of Medicare

UTSA Professor Dana Forgione

UTSA Professor Dana Forgione

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(July 30, 2014) -- Thanks to President Johnson, a right of passage upon turning 65 has become enrolling in Medicare. Medicare was signed into law on July 30, 1965, and celebrates its 49th anniversary this month. Under the leadership of President Johnson, Medicare originally was established to provide health insurance to people age 65 and older, regardless of income or medical history. Before Medicare's creation, approximately 65 percent of those over 65 had health insurance, with coverage often unavailable or unaffordable to the rest.

"Prior to Medicare, it was generally a pay-as-you-go system," said Dana Forgione, the Janey S. Briscoe Endowed Chair in the Business of Health in the UTSA College of Business. "Medicare payment was originally based on cost reimbursement, so costs rose under the system.

"It was originally projected to cost $8 billion by 2002, but today the costs are nearly $750 billion," said Forgione, an expert in health-care financial management. "The most significant change to Medicare occurred in 1983 where they changed to a prospective payment system -- fixed price controls based on a particular diagnosis. While price was controlled, volume was not, resulting in the over-utilization of services."

The latest health-care initiative is the creation of the Affordable Care Act. While it is too soon to analyze the success of this program, Forgione notes that the program is focused on bundled payments, accountability and quality of care.

According to Forgione, when Medicare began, eight workers supported each retiree. Now there are five workers per retiree. In the future, when the baby boomers begin retiring, there will be only 2.3 workers supporting every retiree.

Yet, Forgione agrees that the Medicare system was needed. "Medicare filled a need," he said. "A lot of elderly and retired individuals as well as those with disabilities and end-stage renal disease are provided with government health care because of this law."

With Medicare occupying a huge chunk of the economy, what can be done? Forgione offers three suggestions to improve the current Medicare system.

"With 30 percent of Medicare costs related to hospitalization, we need to incentivize the hospitals to improve efficiencies. We also need to incentivize appropriate care and support quality care for patients."

Forgione leads the college's Business of Health program, which includes a Business of Health concentration in the MBA program, a dual degree MBA/MPH program with the University of Texas School of Public Health and a graduate certificate program. The Business of Health program provides individuals with practical skills needed in today's health-care field. The focus of the program is distinctively on the applied financial and managerial aspects of health care.

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Events
Feb. 13, 10 a.m. - 5 p.m.

29th annual Asian Festival - Year of the Monkey

The UTSA Institute of Texan Cultures invites Texas and Texans to the Asian Festival. What began as a traditional family reunion for the Chinese New Year has expanded to include other Asian communities and participants, showcasing their unique culture and traditions.
The UTSA Institute of Texan Cultures

Feb. 13, 1 p.m.

2016 Interdisciplinary Studies Colloquium

Join the UTSA Department of Interdisciplinary Learning and Teaching in celebrating interdisciplinary inquiry at the 2016  Interdisciplinary Studies Colloquium.  The colloquium will include a panel of faculty and recent doctoral graduate and a showcase of the best IDS undergraduate inquiry projects of the year 2015. The event is free and open to the public.
Business Building (BB 2.06.04), UTSA Main Campus

Feb. 15, 6 - 8 p.m.

Veterans' Networking Mixer

The intent of this event is to connect student veterans with employers who are seeking to provide advice and potentially recruit driven, skilled and equipped candidates for their organizations. This is an exciting opportunity to network and meet with seasoned professionals who will assist and guide you in transitioning into your next career move.
Wyndam Garden Riverwalk Hotel

Feb. 16, 8:30 - 11:30 a.m.

S.T.E.M. Career Fair

Are you looking for career opportunities in Science, Technology, Engineering or Math? Come to the SPRING 2015 STEM Career Fair. Recruiters from across the STEM fields will be present with full-time, part-time and/or internship opportunities. Professional dress is required. Bring plenty of resumes! Download the UTSA Career Fair Plus App on iOS and Android.
Convocation Center, Main Campus

Feb. 16, 1:30 - 4:30 p.m.

Spring 2016 All Majors Career & Internship Fair

Come to the Spring 2016 All Majors and Internship Career Fair. Recruiters from across all industries will be present with full-time or internship opportunities. Professional Dress is Required. Bring plenty of resumes! Download the UTSA Career Fair Plus App on iOS and Android.
Convocation Center, Main Campus

Feb. 17, 5:30 p.m.

CACP Speaker Series continues with Cesar Pelli

The UTSA College of Architecture, Construction and Planning (CACP) welcomes renowned architect Cesar Pelli as part of the CACP’s 2015-16 Speaker Series. Pelli is founder and Senior Principal of the New Haven, Conn. firm Pelli Clarke Pelli Architects. In his talk, “Becoming an Architect,” Pelli will present and discuss projects that were critical steps in his career.
Buena Vista Theater (BV 1.326), Downtown Campus

Feb. 23, 5:30 p.m.

African-American Social Welfare Pioneers Responding to Community Needs

The UTSA College of Public Policy presents the Dean's Distinguished Lecture Series featuring Dr. Iris Carlton-LaNey, Professor of the School of Social Work at the University of North Carolina-Chapel Hill. Dr. Carlton-LaNey will speak to the UTSA community about the role and impact of African-Americans in the social work profession.
Buena Vista Theater (BV 1.326), Downtown Campus

Feb. 23, 7 p.m.

Presentation and Book Signing with Luis Carlos Montalvan

Please join us for a presentation and book signing by Luis Carlos Montalván (Fmr. Capt., USA), author of the New York Times Bestseller Until Tuesday and the international award-winning childrens book Tuesday Tucks Me In. His books will be available for purchase at the UTSA Bookstore. This event is free and open to the public.
Southwest Room (DB 1.124), Downtown Campus

Feb. 25, 6 p.m.

12th Annual Black Heritage Gala

The 12th Annual Black Heritage Gala is a formal event which includes a student performance, keynote remarks by Michael Brown, an award presentation, dinner and dancing. Tickets are $10 for UTSA students and $15 for all other guests. Tickets are on sale now at Roadrunner Express. Contact (210) 458-4770 for more information.
H-E-B University Center Ballroom, Main Campus

Feb. 27, 9 a.m.

Cultural Contrasts in Latin America

The UTSA Institute of Texan Cultures will host a free workshop focusing on teaching Latin American culture and geography for students seeking their teacher certification. The workshop includes free resources for teaching Latin American subject matter as well as presentations on language, identity, music, geography, and political and developmental history, and a special educators’ tour of the museum’s Los Tejanos exhibit. Free with registration.
The UTSA Institute of Texan Cultures (ITC 3.01.02)


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