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Missouri Foundation for Health
Robert Hughes, PhD
President & CEO
Mission
To improve the health and well-being of individuals and communities
most in need.
About Us
Missouri Foundation for Health is a resource for the region, working with
communities and nonprofits to generate and accelerate positive changes in
health. As a catalyst for change, the Foundation improves the health of
Missourians through partnership, experience, knowledge, and funding.
Where We Work
The Foundation serves 84 Missouri counties and the city of St. Louis.
How We Work
As a catalyst for change, we take on important, challenging health issues.
• Promoting health insurance coverage
• Fostering healthy schools and communities
• Reducing infant mortality
How We Work
Opportunity Fund
Through our Opportunity Fund we’re offering the chance for visionary thinkers
to tell us their best ideas with the hope of making them a reality.
How We Work
We collaborate and partner:
• Innovative Solutions to Food Insecurity
– MFH worked with Incarnate Word Foundation to engage the St. Louis
community to address problems of food access, hunger, and insecurity.
• Excellence in Mental Health Act
– Our partnership with the Department of Mental Health supported the
Coalition for Community Behavioral Healthcare to assist DMH in the
development of the Missouri planning grant for the Excellence in Mental
Health Act.
How We Work
As a resource for the region, we offer expertise in research and policy
analysis.
• Health Equity Series
– We issue publications on health disparities for specific Missouri
populations.
• Medicaid Basics
– We educate consumers on all things Medicaid, including eligibility,
services, and delivery systems so that they are familiar with the MO
Healthnet program and empowered to take control of their health and
make informed decisions about health care.
How We Work
We are strengthening Missouri’s health sector:
• Advocacy
• Leadership
Missouri Foundation for Health
Mirror, Mirror… Reflections on U.S. Health
and Health Care in 2017
Health Care in the United States
Health Care Spending
as a Percentage Of GDP
1980–2013
Health Care in the United States
U.S.
Infant Mortality Rates in the U.S.
and Average Of 16 Peer Countries
1960–2009
Other Countries
Health Care in the United States
Mortality Rate
Cause of Death
The U.S. has higher mortality
rates across a number of
different causes of death
(per 100,000)
Cardiovascular disease
155.7
133.6
Respiratory disease
34.3
21.0
Infectious disease
15.4
7.7
Perinatal conditions
7.1
3.7
Intentional Injuries
17.3
11.4
U.S.
Other Countries
Health Care in the United States
Expectancy vs. Health
Expenditure Over Time
1970–2014
Health in Missouri
America’s Health Rankings, 2016
Health in Missouri
• The Commonwealth Fund’s Scorecard on State Health System Performance
ranks Missouri 36th overall
• Missouri is toward the bottom in a number of areas:
– 21st: Prevention and treatment
– 28th: Health equity
– 33rd: Access and affordability
– 38th: Avoidable hospital use and cost of care
– 40th: Healthy lives
Inadequacy of the Health System
Our health care system is built on a conception of “health” as treatment for
short-term, acute illness as opposed to chronic illness or life-long wellness.
Inadequacy of the Health System
System would be more effective in making people healthier if it was
organized to simultaneously promote population health, treat major episodes
of illness and injury, effectively address chronic diseases, and care of patients
at the end of life.
Inadequacy of the Health System
• Our workforce is not based on population health needs
• We have complex payment systems with inconsistent incentives
• Our service delivery system is fragmented
Public Concerns About Health Care
Americans’ Priority Health Concerns
Rank
Priority
1
Lowering the amount individuals pay for health care
(67%)
2
Lowering the cost of prescription drugs
(61%)
3
Dealing with the prescription painkiller addiction epidemic
(45%)
4
Repealing the 2010 health care law
(37%)
5
Decreasing the role of the federal government in health care
(35%)
6
Decreasing how much the federal government spends on health care over time
(35%)
Public Concerns About Health Care
Projections For Medical
Care as a Share of GDP
2008 Projection
2010 Projection
2015 Projection
Public Concerns About Health Care
$16,834
69% Total
Premium
Increase
Average Annual Health
Insurance Premiums and
Worker Contributions for
Family Coverage
$9,950
2004–2014
$7,289
$12,011
81% Worker
Contribution
Increase
$2,661
2004
Worker Contribution
$4,823
2014
Employer Contribution
Deep Divides and Misunderstandings
More Americans Now Have a Favorable View of the Health Care Law than Have an Unfavorable View
Favorable
Unfavorable
Don’t know/Refused
Deep Divides and Misunderstandings
U.S. Health and Health Care in Brief
• The U.S. is falling behind peer countries
• Missouri is below average among states
• Our health system struggling to transform to meet the needs of the
population
• The public is concerned about affordability
• Our country is deeply divided on how to move forward
Where We Are Today
• There is significant uncertainty about the future
• Unprecedented changes have been proposed for Medicaid beyond ACA
• The public is insufficiently aware of what these changes are and what they
would mean for their health and health care
Contact
Robert Hughes, PhD
President & CEO
(314) 345-5500 | [email protected]