Deck 17: Reform of the Healthcare Market

Question 1

In order to achieve desired outcomes and costs, managed care focuses on efforts to

A) Coordinate utilization
B) Rationalize utilization
C) Channel utilization
D) All of the above

Answer 1

D

Question 2

In terms of ability to control provider decision making, the "tightest" type of plan is the

A) Staff model HMO
B) Group model HMO
C) Independent practice association
D) Preferred provider organization

Answer 2

A

Question 3

The Patient Protection and Affordable Care Act (ACA) stipulates that insurance premiums cannot vary because of:

A) Family structure
B) Geography
C) Age
D) Pre-existing health conditions
E) All of the above

Answer 3

D

Question 4

Because the health care industry represents such a substantial portion of economic activities, it both impacts and is impacted by the general economy.

Question 5

Only hospitals and physicians are facing tremendous pressure to cut costs, improve quality, and prepare for fundamental change in how health care is provided, financed, and consumed.

Question 6

Horizontal collaborative arrangements have been undertaken to integrate better control over the coordination of care across providers and institutions.

Question 7

The introduction and diffusion of medical technologies are expected to continue or even increase in the future.

Question 8

In the health insurance markets, the term healthcare reform refers to specific ways to make the markets perform more like a competitive market.

Question 9

In the state of information symmetry, one group of individuals potentially engaged in a transaction has better information than another group potentially engaged in the transaction..

Question 10

The use of electronic health records (EHRs) will decrease the

Question 11

An example of an insurance premium subsidy provided by government to individuals who purchase insurance is the income tax deduction for employer-paid health insurance premiums.

Question 12

Explain why individual or small-group insurance tends to be more expensive than large-group insurance.

Question 13

Contrast the incentives for resource use faced by a physician under a salary, under fee-for-service compensation, and under capitation.

Question 14

What has been an initial reaction in the hospital industry to the pressures to cut costs, improve quality, and prepare for fundamental change in how health care is provided, financed, and consumed.

Question 15

Why is it usually very difficult to measure the impact that a new technology has on the costs of health care?

Question 16

Explain how bundled (episode-based) payment impact the incentives to providers