MHA 707 Exam C Questions And Answers
Moral Hazard - ANS When the act of insuring an event increases the likelihood that the event will happen
behaving different when you know someone is taking the risk (induced demand)
Adverse Selection - ANS the situation in which one party to a tran...
Studyclock
MHA
707
Exam
C
Moral
Hazard
-
ANS
When
the
act
of
insuring
an
event
increases
the
likelihood
that
the
event
will
happen
behaving
different
when
you
know
someone
is
taking
the
risk
(induced
demand)
Adverse
Selection
-
ANS
the
situation
in
which
one
party
to
a
transaction
takes
advantage
of
knowing
more
than
the
other
party
to
the
transaction
the
sicker
people
likely
want
more
insurance,
compared
to
those
who
are
healthy
Pooling
of
Risk
-
ANS
Allows
individuals
to
share
risk,
i.e.,
insurance
companies
National
Health
Expenditure
Accounts
(NHEA)
-
ANS
Provides
official
estimates
of
health
care
spending
in
the
US.
It
measures
health
care
consumption
and
health
care
investment.
NHEA
Benefits
-
ANS
Comprehensive:
includes
all
major
components
of
health
care
system
in
unified,
mutually
exclusive,
and
exhaustive
structure
Multidimensional:
encompasses
expenditures
as
well
as
payers
Consistent:
applies
a
common
set
of
definitions
that
permits
longitudinal
comparisons
Published
by
DHHS
Accounts
in
the
NHEA
-
ANS
National
Health
Expenditures:
NHE
Health
Consumption
Expenditures:
HCE
Personal
Health
Care:
PHC
National
Health
Expenditures:
NHE
-
ANS
all
health
care
consumption
and
investments
in
medical
structures
and
equipment
and
noncommercial
health
services
and
biomedical
research
NHE
-
HCE
=
Amount
of
investment
in
the
medical
sector
of
economy
(buildings,
research,
equipment)
Health
Consumption
Expenditures:
HCE
-
ANS
a
subset
of
NHE,
includes
personal
health
care
spending,
government
administration
and
net
cost
of
private
health
insurance
and
public
health
activities Studyclock
Personal
Health
Care:
PHC
-
ANS
subset
of
HCE,
including
all
medical
goods
and
service
that's
used
to
diagnose,
treat,
and
prevent
health
problems
of
a
specific
person
How
much
NHE
spent
on
Health
Care?
-
ANS
$3.49
Trillion
Per
capita
amount:
over
$10k
%
of
GDP:
18%
Buying
Power:
$1,200
when
adjusted
by
CPI
Largest
contributors
to
the
Personal
Health
Care
(PHC)
-
ANS
hospitalization,
physician
services,
Rx,
other
health
care
goods
and
services
What
accounted
for
the
largest
share
of
NHE?
-
ANS
Hospital
Care:
33%
of
spending
Professional
Services:
20%
doctors
NHE
Retail
Rx:
10.5%
Three
Categories
of
PHC
increased
as
a
share
of
NHE
-
ANS
Health
Residential
and
Personal
Care:
5.2%
of
NHE
Net
Cost
of
Private
Health
Ins:
6.6%
of
NHE
Home
Health
Care:
2.8%
of
NHE
Chronic
Disease
and
Mental
Health
Diseases
in
NHE
(percentage)
-
ANS
90%
Among
the
top
5%
of
users
account
for
about
half
of
the
spending
Medical
Conditions
and
Parentages
on
Americans
-
ANS
90%
of
Americans
have
1
risk
factor,
52%
have
2
or
more
highest
proportion
in
impoverished
and
racial/ethnic
minorities
Americans
Stat
on
Health
Ins
Coverage
-
ANS
92%
of
the
US
population
have
some
sort
of
ins
(8%
or
26.4
M
uninsured)
Cost/Cost
Plus
-
ANS
how
hospitals/providers
describe
payments
received
for
services
they
have
already
provided.
The
organization
tracks
all
the
costs
associated
with
each
customer
and
then
asks
to
be
paid
that
amount.
Contracts
specific
that
the
organization
will
be
reimbursed
for
actual
cost
plus
an
additional
percentage
of
cost
(includes
built
in
profit)
How
Money
is
Paid
to
Health
Care
Providers
-
ANS
Cost/Cost
Plus
Time
and
Materials
Fee
for
Service
Fixed
Price
Capitation
Value
Time
and
Materials
-
ANS
A
contract
type
where
the
seller
charges
the
buyer
for
the
time
and
the
materials
for
the
work
completed.
T&M
contracts
should
have
a
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