Deck 3: The Challenge of a Competitive Marketplace

Question 1

The environmental scan tracks and monitors.

A) Local trends
B) National Trends
C) Global Trends
D) All of the above

Answer 1

D

Question 2

Which of the following is not a source of an environmental trend?

A) Demographics
B) Technological advances
C) Competitive shifts
D) Consumer preference changes

Answer 2

D

Question 3

The U.S. is expected to see significant increases in racial and ethnic diversity except in which ethnic group?

A) Non-white Hispanics
B) African-Americans
C) Hispanics
D) Native Americans

Answer 3

A

Question 4

By the middle of the 21^st century the "average American" will be predominantly represented by :

A) Latinos (Hispanics)
B) Caucasians
C) Asian -Americans
D) no one predominant racial or ethnic group

Question 5

The oldest racial group in the U.S.is:

A) Hispanics
B) Asian-Americans
C) African Americans
D) Caucasians
E) Native Americans

Question 6

An interesting aspect of the Hispanic population sub-group is that advertisements were found to have;

A) No significant effect on Hispanics in terms purchasing products
B) Has a significant effect on Hispanics purchasing on items
C) Depends on the product category
D) It a significant factor on health care related purchases

Question 7

A long-standing mistrust of the medical profession exists among what sub-group in the population?

A) Latinos
B) Asian Americans
C) African Americans
D) None of the above

Question 8

Which one of the following reasons was not cited as a barrier for older consumers in accessing medical care?

A) Medical bills
B) Difficulty of getting to a physician or a facility
C) Problems in communicating with a clinician regarding the medical problem
D) Fear of safety on the street

Question 9

Under HIPAA regulations, a doctor must now:

A) No longer use a vendor for cleaning their office
B) Keep patient records locked after hours if an outsider cleaning service is used after hours
C) Keep patient records off site for privacy
D) Only keep patient records electronically with patient permission

Question 10

Which of the following types of marketing communications are not allowed under HIPAA rules?

A) Any service that the hospital receives direct or indirect payment in exchange for making the communication
B) Any service for which the hospital gets reimbursed if the patient uses the service
C) If the service is of nominal value it is deemed wasteful use of healthcare resources and not allowed.
D) Any health related service or product.

Question 11

In 2013, under HIPAA, a hospital has greater freedom for fundraising to now be able to:

A) Use the patient's insurance record
B) Identify a patient from their hospital records
C) Identify a patient by the type of department a patient was in as well as their doctor can be used
D) None of these sources of information can be used for fundraising

Question 12

Under Stark II, physicians are prohibited from:

A) Communicating to patients by email without their consent
B) Investing in any business that involves a healthcare related product or technology
C) Referring to any entity in which they hold a financial interest
D) Entering into an agreement with a hospital or medical system on which they hold medical staff privileges.

Question 13

The Federal Trade Commission typically does not challenge mergers between two hospitals where one of the hospitals has an average of fewer than one hundred beds, and

A) Less than $50 million dollars in total assets
B) Has an average daily inpatient census of fewer than seventy-five patients over the five most recent years
C) Has between $50 million and less than $100 million in total assets
D) Has an average daily census of fewer than forty patients over the three most recent years

Question 14

The greatest use of EHRs and its functionalities is among:

A) General surgeons
B) Dermatologists
C) Orthopedists
D) Primary Care Physicians

Question 15

Which of the following is not a factor affecting the competitive landscape?

A) Global competition
B) Quality Data
C) Transparency of Price
D) Changing technology

Question 16

Which type of merger is not prevalent in the health care industry?

A) Health systems with health systems
B) Health systems with providers
C) Providers with insurance companies
D) Health systems, insurers, retailers

Question 17

The growth of medical tourism overseas may be less of a factor because of:

A) Transparency and reference pricing within the U.S.
B) Concerns of terrorism overseas
C) Increasing cost of travel to overseas destinations
D) Concerns regarding safety of overseas medical facilities growing due to unfavorable
News reports

Question 18

The Department of Health and Human Services has a WEB site that allows consumers to:

A) Check the price of outpatient procedures a various medical facilities
B) Check the outcomes of physicians across specialties
C) Compare hospitals on multiple measures of performance, surgical procedure, or specific medical condition.
D) Seek health information to be able to be able to ask the doctor about a specific medical problem

Question 19

Angie's List that provides ratings of doctors would be considered an example of:

A) A web site that is not a reliable source of health care information
B) A self- motivated transparency web site
C) A third party transparency alternative
D) A Regulatory transparency site

Question 20

Which of the following is a strong barrier to entry?

A) regulatory requirement
B) restricted access
C) High price
D) All are strong barriers to entry

Question 21

Which of the following is not a factor that affects the intensity of competition?

A) Power of suppliers
B) Pace of technological change
C) Power of buyers
D) Barriers to entry

Question 22

Wal-Mart has which of the following as its real barrier to entry?

A) Regulatory advantage
B) Brand name
C) Capital requirements
D) Distribution access

Question 23

Patient portals on hospital WEB sites provide what form of a barrier to entry from competitors?

A) Capital requirements
B) Distribution access
C) Switching costs
D) Brand name

Question 24

With the increasing cost of health are to cover employees, more employers are moving the coverage of their workers to:

A) Managed Care plans
B) Health Deductible Plans
C) High Deductible Plans
D) Health reduction Accounts

Question 25

Environmental scanning is often done as a part of an organization's financial planning activities.

Question 26

The U.S. population is expected to see a slight decline in non-Hispanic whites in the next four decades to the year 2050.

Question 27

The one significant demographic trend is that by the middle of the 21^st century the
dominant sub-group in the population will be Hispanics.

Question 28

The highest growth rate in the population is Hispanics.

Question 29

Over seventy years of age, regardless of race, use of patient portals is nearly identical among whites, Latinos and blacks.

Question 30

Over the next two decades the U.S> population will slowly grow.

Question 31

By 2030 almost one in five Americans will be over the age of 80

Question 32

In 2015, the mortality rate in the U.S. rose attributed to drug overdoses.

Question 33

Business associates are now held accountable under revisions to the HIPAA regulations revisions in 2013.

Question 34

HIPAA law requires that the doctor have consent from their patient one time and then they are allowed to always transmit patients' medical information.

Question 35

HIPAA is only a medical information law and has no significant impact on marketing or marketing activities.

Question 36

Under the 2013 loosened HIPAA rules, patients cannot opt out of hospital fundraising appeals.

Question 37

If a hospital received indirect payment for making to communicate information with a patient it is disallowed under the HIPAA law based on changes to provisions strengthened by the 2009 recovery and reinvestment Act.

Question 38

A hospital can communicate about product and services when they are of nominal value even under the HIPAA laws which allows for the distribution of pens and calendars and the like.

Question 39

The Stark I Law prohibits physicians from advertising directly to patients if they hold a financial interest in the organization that is being advertised.

Question 40

The major difference between Stark I and Stark II was that patients who were Medicare and Medicaid patients were now covered.

Question 41

Stark I prohibited physician referrals to entities in which they held financial interest.

Question 42

Stark II regulations of 2007 allows medical groups to impose practice restrictions of a limited nature on recruited physicians

Question 43

Stark II limited the geographically area in which a rural hospital could recruit a physician.

Question 44

The Federal Trade Commission does not generally challenge the merger of acute care hospitals if one of the hospitals has fewer than two hundred licensed beds and an average daily census of 40 patients per day.

Question 45

The Federal Trade Commission has a safety zone whereby it will not challenge the merger of acute care hospitals of a certain size and average daily census, but it does not apply if the hospital is less than five years old.

Question 46

Older consumers have recently been found to be as adept at using patient portals as younger consumers.

Question 47

The adoption of EHRs among smaller rural hospitals in the U.S. still lags at a level below 50%.

Question 48

Merger activity in the health care industry has begun to drop since the cost of capital increased in 2015.

Question 49

Patients going overseas for healthcare are people who tend to be underinsured or uninsured as well as those with high deductibles.

Question 50

Domestic medical tourism is a trend that means attracting people from overseas into the domestic U.S. market for healthcare.

Question 51

Consumers are now able to get outcome data on hospitals from both federal and state regulators.

Question 52

Transparency in health care has led to third party rating agencies that are certified by government regulators publish price and quality data on health care providers.

Question 53

Certificate of need requirements was a state regulation that required regulatory approval before capital expenditures could be made by a health care organization for programs of a certain dollar size.

Question 54

Brand identify is a strong marketing concern but can never be an effective barrier to entry as it is easy for a competitor to counter.

Question 55

Wal-Mart has brand identity as its significant barrier to entry for competitors.

Question 56

As health care systems began to acquire physician practices and form large integrated group practices within their ownership, the health systems were attempting to develop a distribution access barrier to entry.

Question 57

Service that is expensive or requires significant capital outlay is in and of themselves a barrier to entry.

Question 58

Patient portals that are developed for patients and referral physicians are trying to create a barrier to entry around switching costs.

Question 59

The premium dollar to cover employees is growing at a higher rate for large firms than for smaller firms under 200 employees per annum, leading these larger firms to move to high deductible health care plans to cover employees.

Question 60

Although consumers may be in a high deductible health care plan, there is still a tendency for them to not talk to their physician about the cost of treatment when it is needed.