MHA 707 Exam C-Questions and Answers
100% Solved
Non marketability of risks Inherent I medicine and medical practice health insurance.
Moral hazard behaving differently when you know someone else is taking the risk (induced
demand)
Adverse selection The sicker people likely want more insuran...
MHA 707 Exam C -Questions and Answers 100% Solved Non marketability of risks ✔✔Inherent I medicine and medical practice health insurance. 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 Financing health care in U.S. ✔✔•Workarounds •Redundancies •Contradictions (NHEA) ✔✔National Health Expenditure Accounts National health expenditures (NHE) ✔✔All health care consumption and investments in medical structures and equipment and non commercial health services and biomedical research. Health Consumption Expenditures (HCE) ✔✔•A subset of (NHE) National health Expenditures •Includes all medical goods and services that are used to diagnose, treat, and prevent health problems in a specific person. In 2017, the National Health Expenditures (NHE) were approximately ✔✔• $3.49 trillion • 17.9% of GDP • $10,739 per capita Most of HCE are for personal health care (PHC) ✔✔•Hospitalization •Physician Services •Prescription drugs •Other health care goods and services Chronic diseases ✔✔90% of the NHE are for 85% chronic and 5% mental health diseases ✔✔Value -based purchasing, bundled payments, and P4P (pay for performance) currently used by CMS ( Centers for Medicare & Medicaid Systems) too performers make extra money that is taken from poorer performers Managed Care Plans ✔✔• Health Maintenance Organizations (HMO) • Preferred Provider Organization (PPO) • Point -of-Service (POS) plans • Exclusive Provider Organizations (EPO) • Other Permutation Managed Care Organization (MCO) ✔✔United health group is the largest in 2017 About 66% ✔✔of people under the age of 65 are covered through Private Insurance About 11% ✔✔of people under the age of 65 were uninsured in 2017. (Self -pay or self -insured) (unassigned, no doctor) About 8% ✔✔of people under the age of 65 were uninsured in 2019 Out of pocket health care payments for insured patients are ✔✔• Copayments • Coinsurance • Deductibles
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