Health Care Policy Final Exam 2024-2025
Questions And Answers Latest Update
What is the most reliable resource for observing medical resources and
distribution?
Darthmouth Atlas
What percent of GDP is spent on health care?
17.7%
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,How did the affordable care act impact the number of uninsured individuals in the
United States? What year did ACA benefits kick in?
uninsured rates dropped from 44% to 28%. Started in 2014.
What are two ways in which we can reduce spending by the payer?
either lower price of service or lower quantity of goods and services (volume)
Fill in the blank: private insurance spending has _________ faster than
Medicare/Medicaid spending (grown/declined)
grown
Does the United States have a comprehensive health care system that is available
to all citizens?
nope
Spending on health in the OECD (high income countries) was about $4,000 per
person on average. The US spends almost $__________ per person.
$10,000
True or false: inability to pay medical bills is the #1 cause of bankruptcy in the US.
true
What occurred in healthcare from 1850-1900?
institutionalization of health care with large hospitals like Bellevue and Mass Gen
Boston fluorishing. Prior to this, physicians were private practitioners
What occurred between 1900-1940 in healthcare?
scientific method introduced, safer practices in surgery and obstetrics, discovery
of insulin and penicillin
When was the Flexner report and what did it recommend?
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, developed in 1910 via the Cargenie Foundation grant. It recommended university
training of physicians, specialization of physicians, emphasis on "science"
What did the post-WWII era bring to healthcare?
financing of healthcare (vs. previous system of bartering), Hill Burton Act,
development of Blue Cross in 1939, military healthcare as a right
What is the Hill Burton Act?
It increased the quality of hospitals and improve distribution of medical care
What are HMOs and how did the use of HMOs change in the 21st century?
HMO: health maintenance organization (everything in house, like Kaiser). In 2000,
HMO enrollment dropped 400,000 from 1999 with a proliferation of PPOs.
Who was the first president to push efforts for federally recognized healthcare?
Harry Truman in 1945
What does "national health insurance" mean? What does "national health
insurance" NOT mean?
it means the guarantee of health insurance for all nation's residents. It does NOT
mean socialized medicine.
What are the three aims in the triple aim?
1. improving individual experience (spend less money, get better, people happier)
2. lower growth in expenditures
3. better health populations
Who are the players in health care reform? (3 Ps)
patients, payers, providers
What perspective must be observed in health care reform? (3 Ps)
personal. policy, politics
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