Deck 9: Containing Health Care Costs

Question 1

Cost containment is one of society's goals for health care. Some of the others are

A) Access to services
B) Quality of the services provided
C) The quantity of the services provided
D) a & b

Answer 1

a & b

Question 2

Fee for Service options for cost containment include all but the following:

A) Pricing options
B) Timing options
C) Patient cost sharing
D) Utilization Management

Answer 2

Timing options

Question 3

Implementation of the DRG system made gaming the system

A) More difficult
B) Easy to pursue
C) Had no impact
D) Continues to be developed

Answer 3

More difficult

Question 4

Price controls on physicians when payments are frozen or reduced

A) Has had the same results as price controls on hospitals
B) Has had no effect on price control
C) Has had limited success
D) Has been very successful

Question 5

In the Canadian health care system, each province

A) Follows the federal mandates so all systems are the same
B) Has its own system
C) Is joined with the other provinces of its choosing
D) All of the above

Question 6

Wait times to see a specialist in the U.S. as compared to other OPEC countries is

A) The same
B) Shorter
C) Shortest of all other countries
D) Longer

Question 7

Utilization Management (UM) is normally implemented by

A) Third party payers
B) Communities
C) Regional Health Districts
D) Researches evaluating impacts

Question 8

The primary example of expenditure control in the U.S in the early 1990s was

A) Utilization Management
B) Implementation of Medicare Volume Performance Standards (VPS)
C) Cost Shifting Practice
D) None of the above

Question 9

The Sustainable Growth Rate of the Balanced Budget Act of 1997

A) Has been praised by physicians
B) Has been praised by hospitals
C) Has been the subject of intense criticism
D) Has not been implemented

Question 10

To control expenditures under a capitated system must

A) Control the cost of the person
B) Control the number of persons
C) Shift costs between payers
D) All of the above

Question 11

Hospitals resort to shifting costs onto private payers when faced with cost-containment strategies.

Question 12

Limited cost savings are experienced when physician payments are frozen.

Question 13

Utilization Management Programs have not been used universally which has meant a lack of impact on cost containment.

Question 14

Gaming the system is part of the structure design of cost containment strategies.

Question 15

Cost saving is society's only goal with regard to health services.

Question 16

The U.S. reports the shortest wait times of other OPEC nations to see a specialist.

Question 17

HMOs are the current preferred type of health care provider organization.

Question 18

Patient cost sharing is a deterrent to service utilization.

Question 19

In the future UM will include outpatient settings.

Question 20

Capitation is oriented to the total expenditures of service not the person.