This tutorial introduces the structure of the U.S. health care system, how money flows within it, and an overview of different types of public and private insurance. These videos and questions provide a clear explanation of what is and is not working within the health care system to help frame the health care reform discussion and inform clinicians and the public how to improve quality while decreasing health care spending. Narrated by Dr. Darshak Sanghavi, a pediatric cardiologist and fellow at Brookings Institution.
Introduction to the U.S. health care system
Confused about the U.S. health care system? This introduction uses one patient as an example to illustrate how money flows within the system. This will serve as the basis for deeper dives into each program as well as health care delivery and payment reform.
Medicare is the federal health insurance program for the elderly and disabled, but many people might be confused about how it works and how it is funded. This video explains the history, structure, and financing of this program.
Medicaid is a federal/state partnership that provides health insurance and other services for low-income families and other eligible people. Learn what services are covered and how states are involved to fund and administer the program.
The U.S. uninsured population
More than 45 million Americans lack health insurance. This video explains who they are, what issues they face, how their care is paid for, and the possible future of health care coverage for them.
Paying for medicines: copays and deductibles
How do copays and deductibles work? Why is paying for medicine so complicated? In the first of two videos on paying for medicines, an overview of over the counter and prescription drugs is provided.
Paying for medicines: tiering and formularies
In the second of two videos on paying for medications, the concepts of tiered drug pricing, preferred drug lists, and Medicare Part D are explained to shed some light on the issue.
Understanding your medical bill
Have you ever been confused by a medical bill? What happens after you visit the doctor? This video explains how medical costs are calculated and paid for by public and private insurance. Learn more about the path of that bill, how it’s processed, and who pays for what.
Health care costs
We all know the US spends a lot on health care, but why are costs so high and what can we do about it? This video explains the reasons why costs have risen so rapidly and various policies proposed to contain costs and improve health care value.
Private health insurance
Approximately half of Americans rely on their employers to help obtain and pay for health coverage. This video explains the history of private insurance, how risk-sharing works, and the incentives for employers and employees to share the responsibility of health care coverage.
Health care for the chronically ill
Caring for chronically ill patients raises significant challenges and is consuming a greater percentage of health care services and spending. These patients often require special care outside of the hospital setting, including rehabilitation, post-acute care, and long-term care. This video explains how and where chronically ill patients receive care, who pays for these services, and how the needs of this population affect the overall health care system.