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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]