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MHA 707 test 1 Questions And Answers
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MHA 707 test 1 Questions AndAnswers
The Importance of good health care in America: - -- altruistic oriented set of
providers and activities + huge industry + profitability
- 20% of our GDP is devoted to medical care and health promotion (value)
- 11% of all US jobs are in the health sector
- sizable share of our income is spent on the health care we need
-Characteristics of US health system - -- not ordered or organized as a
single enterprise
- actors and organizations often work independently
- little coordination between players
- system continues to evolve haphazardly
-health maintenance - -- clear difference between health "maintenance"
and "restoring" health
- medical care systems care for people even if restoring health is impossible
-fee for service - -a system under which doctors and hospitals receive a
payment for each service they provide
-health care delivery - -1. the importance of organizations in delivering care
2. the role of professionals in running our system
3. the emergence of new medical technology, smartphones, big data, new
pharma.
4. tension between free market and government control
5. a dysfunctional payment system
-customer friendly - -the health system could do much more to improve the
experience of patients receiving care
1. improving quality
-access to health care - -not always ensured. many rural areas have
shortages of doctors and other providers and many doctors refuse to see
patients with certain types of insurance because of low payment rates
2. improving access and coverage
-Major Issues and Concerns - -3. slowing growth of health care expenditures
4. encouraging healthy behavior
5. improving the public health system
6. addressing inequalities in access
, -stakeholder - -set of people who have a strong interest in how something
in our society is done.
1. consumers
2. providers
3. employers
4. insurers
5. public policy makers
-workforce - -motivated principally by the social goal of keeping people
healthy
-consumer stakeholder - -- should be at the center of the health system
- sometimes bystanders in decisions affecting their own health and payment
issues
- WANT access to quality and affordable health care for self and family
-providers stakeholders - -- work to advance medical knowledge
- motivated by the social goal to keep everyone healthy
- face financial pressures to prevent health care costs from increasing
- WANT fair opportunities to earn incomes that reflect their expertise and
workload
-employers stakeholders - -- most offer insurance as a benefit
- WANT healthy employees who are productive and who do not have to take
time off because of illness
- WANT a slowdown in their health care cost and responsibility shifted to
eomployees
-insurer stakeholders - -- act of intermediary among payers, providers, and
consumers to determine that kinds of health care covered by employer's
insurance plan
- changing payment approaches could compete with traditional insurance
companies (direct contracting)
- WANT to protect their role in the health sector
- WANT to share more risk with providers/patients
-public policy makers stakeholders - -- included appointed officials and
elected politicians
- differ in views about how the health system should work
- WANT slower inflation rates in the health sector
- WANT high quality care and better patient experience
- WANT state-of-the-art medical care and interventions
-continuum of care - -encompasses care from the cradle to the grave
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