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HAP Final Exam /42 Questions And Answers (A+)
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HAP Final Exam /42 Questions And Answers (A+)Quiz :Factors that drive technological innovation in medicine -
√Answer :competition amongst providers, survival for providers and patient
demand
Quiz :The tension between technological innovation and cost containment -
√Answer :important to compete but innovation is expensive
ex:Better anesthetic agents and practices have reduced the burden of surgery
on patients, producing faster patient recoveries, shorter hospital stays, and
fewer medical errors.
Quiz :Categories/examples of health information technology - √Answer :E-
health= self health, less medically trained professionals, telemedicine=talking
to doctor over zoom, Electronic medical record systems (EMRs, EHRs, and
PHRs).
Quiz :Evidence that the medical device market does not operate under ideal
market conditions - √Answer :Rosenthal on Regulation: dif devices have dif
levels of approval, if you can make a case that some item is like yours you can
get it approved and not have to go through rigorous level 3
ex: hip replacement, people can not go and shop around and look for the best
prices because options are limited
Quiz :The basic logic of how health insurance works - √Answer :It is meant to
pool risk and transfer risk from individuals/businesses to insurance companies
Quiz :Third-party payer system - √Answer :A payment system whereby an
insurer (or third party) pays for services rendered to an individual by a provider
of care. Transitioning away from ffs to person centered population based
payment
Quiz :Moral hazard - √Answer :When the act of insuring an event increases the
likelihood that the event will happen
Quiz :provider-induced demand - √Answer :Artificial creation of demand by
providers that enables them to deliver unneeded services to boost their
incomes.
Quiz :How perverse incentives (moral hazard & provider induced demand)
relate to healthcare costs - √Answer :Both of these drive up healthcare costs
, Quiz :Supply-side rationing - √Answer :Also called planned rationing because
the government, faced with limited resources, makes deliberate attempts,
often referred to as "health planning," to limit the availability of healthcare
services, particularly those beyond the basic level of care.
Quiz :demand-side rationing - √Answer :Refers to barriers to obtaining health
care faced by individuals who do not have sufficient income to pay for services
or purchase health insurance.
Quiz :reimbursement - √Answer :amount paid to patient toward the cost of
healthcare services
Quiz :What is managed care, and why did it emerge in the 1980s and 1990s as
a dominant force in US healthcare - √Answer :mechanism providing healthcare
services, single source provides financing, insurance, delivery and payment
-meant to slow rises in healthcare spending
-eliminates unnecessary care, negotiate standard lower prices, pushing risk to
provider side
-This integration of financing and insurance was an efficient way to gain control
and prompted the explosion of managed care during the 1970s and 1980s,
Quiz :Pushbacks of managed care - √Answer :consumers lost choice
-providers had to except discounted rates but they get guaranteed volume and
income
-providers taking on risk
-get things approved, precertifications (insurance determines what care is
covered).
Quiz :How managed care works and, specifically, how it aims to control cost
inflation - √Answer :Managed care plans are designed to control health care
costs. The purpose is to provide quality health care that patients can afford to
access. Managed care costs are controlled by increasing efficiency, eliminating
the duplication of services, and discouraging the incursion of unnecessary
costs.
-managed care encourages providers to keep enrollees healthy in order to
keep costs within the capitation rate, through preventive and appropriate care
to avoid expensive hospital stays and emergency department visits.
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