Exam (elaborations)
MHA 707 Exam C – Questions With Detailed Answers
- Course
- Institution
MHA 707 Exam C – Questions With Detailed Answers
[Show more]
1 review
By: shrukh1 • 3 months ago
Seller
Follow
LeCrae
Reviews received
Content preview
MHA 707 Exam C – Questions With Detailed AnswersWhat is "asymmetry of information"? Why is it important in HC ? - ✔ •Physician vs. patient (vs. 3rd Party payer)
What is "non-marketability of risk"? - ✔ inherent if medicine and medical
practice
Health is not a marketable product, that is, it cannot be exchanged between
consumers
Moral Hazard - ✔ behaving differently when you know someone else
is taking the risk (Induced demand)
Adverse Selection - ✔ the sicker people likely want more insurance (the
healthier, less)
pooling of risk - ✔ sharing risk proportionately among many is a basic insurance
concept
National Health Expenditure Accounts (NHEA) - ✔ •Provide official estimates of health care spending in the United States and Measures health care consumption and health care investment
National Health Expenditure Accounts (NHEA) produce: - ✔ National Health Expenditures (NHE), Health Consumption Expenditures (HCE), Personal Health Care (PHC)
How much $ is spent on HC in US: absolute, per capita and as a % of GDP? - ✔ •$3.49 trillion
•17.9% of GDP
•$10,739 per capita
Percentage of $ spent in hospitals? On doctors? On Rx drugs? - ✔ •About 33% - hospitals
•About 20% - physicians
•About 9.5% (10.5% in 2019) - drugs Chronic disease - what is it & why is it important? What percent of NHE is spent on chronic disease? - ✔ conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both.
- 90% of the NHE are for chronic and mental health diseases.
What are "personal behaviors" and how do they fit into the leading causes of death? - ✔ Tobacco, obesity, poor diet, substance misuse/abuse
-Half of the mortality from 10 leading CODs attributed to personal behaviors
What percent of Americans are hospitalized each year? - ✔ only 6.7% of Americans were hospitalized in 2018
What portion of Americans are uninsured? What portion of Americans under age 65 are covered by private health insurance? - ✔ 8% of people under the age of 65 were uninsured in 2019
** leaves 26.4 M uninsured **
About 66% of people under the age of 65 are covered through private insurance
Cost Plus Reimbursement - ✔ a payment scheme in which reimbursement to a provider is based on cost plus a factor to cover the value of capital
fee-for-service - ✔ a system under which doctors and hospitals receive a payment for each service they provide
•Provider-centric outcome
Capitation - ✔ •Fixed prepayment per person to the health care provider for an agreed-on array of services during a contract period (Per member/per month)
•May put the physician at odds with the patient
Value Based Payment - ✔ a payment system in which provider payments are linked to the cost and quality of care
MCO (managed care organization) - ✔ responsible for the health of a group of enrollees; can be a health plan, hospital, physician group, or health
system.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$14.34. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now