Exam (elaborations)
Health Policy Exam Questions And Answers Latest Update
- Course
- Health Care Policy
- Institution
- Georgetown University
Health Policy Exam Questions And Answers Latest Update
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Health Policy Exam 1 2024-2025Questions And Answers Latest Update
Primary objective of a Health Care system - 1.To enable all citizens to receive
healthcare services
2. To deliver services that are cost-effective and meet established standards of
quality.
How is US health care system unique? - - it's not a system
- no universal health care financed by taxes - no entitlement
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,- no other country operates like the U.S.
- changes due to cost, access and quality
Ten characteristics that differentiate the U.S Health Care System - 1. No central
agency governs a system
2. Access is selective based on insurance
3. Health care offered under imperfect market activity
4. Third party insurers are intermediaries between finance
and delivery
5. Multiple payers are cumbersome
6. Balance of power, no domination
7. Legal risk affects practice behavior
8. New technology creates demand for its use
9. New service settings along a continuum
10. Quality is achievable
No Central Agency - - Most developed nations have a national health care
program where every citizen is entitled to receive a set
of service
- To control costs, use global budget to determine total
health care expenses
- Government usually controls frequency of health care
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, services, especially expensive medical technology use
- The U.S. has mostly private financing and delivery
- Private financing through employers at 55% and
government at 45%
- Private health care, hospitals, physicians are independent
of government
- No one monitors total expenses through global budgets
and utilization
- U.S. does determine public-sector expenses and
reimbursement rates for Medicare and Medicaid
- Government sets standards of participation through policy
and regulations
- providers must comply with standards to be certified to
provide Medicaid & Medicare patients
- regarded as minimum standards of quality
Access to healthcare is selective based on insurance: Partial access - In U.S.,
access restricted to those who:
a) have health insurance through an employer
b) are covered under a government health care plan c) can afford to buy
insurance out of pocket
d) can pay at time of service privately
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