Thursday, September 03, 2015

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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Did You Know?

UTSA writes the book on all-digital libraries

As touch screens and e-books demand more and more attention from both casual readers and scholars, many people say the handwriting is on the wall for the printed page.

At UTSA, the handwriting is on the wall for a library that doesn't have any printed books.

Since March 2010, the bookless library in the Applied Engineering and Technology Building has given UTSA students an innovative way to read, research and work with each other to solve problems.

With ultra-modern furniture and a décor featuring desktop computers, scanners and LCD screens, the AET Library is designed to engage students in an online format. But it also offers group study niches and study rooms with whiteboards and glass walls on which students can write. The space encourages teamwork, communications and problem solving for the next generation of scientists and professional engineers.

Did you know? The UTSA AET Library is the nation's first completely bookless library on a college or university campus. It served as a model for Bexar County's first-in-the-nation public bookless library system and one of its branches, the Dr. Ricardo Romo BiblioTech.

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Architecture Connects

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Sept. 24, 6 p.m.

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The UTSA College of Education and Human Development will host award-winning children’s author and illustrator Yuyi Morales. Morales will share personal stories that have influenced her work as an author and illustrator.
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