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MHA 610 FINAL EXAM QUESTIONS
& ANSWERS ```
Question : What is meant by the term "health care costs"?
Give the 3 meanings.
CORRECT ANSWER : 1. Billings and premiums that
the patient pays
CORRECT ANSWER : 2. How much debt the nation is
in for medical expenses
CORRECT ANSWER : 3. The cost of producing
services such as supplies and equipment
Question : How does Rand Health show the relationship
of rising costs and third-party reimbursement?
CORRECT ANSWER : The experiment showed how
people who paid out of pocket were less likely to utilize the services, making them spend less. Those who were covered used the services more. No difference in health status was noted
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Question : How does an imperfect market have higher
price and quantity than a highly competitive market?
CORRECT ANSWER : A free market is driven by
supply and demand. Our market is only partially a free market, and is driven by a multiple payer system, making it difficult to negotiate prices
Question : How is cost containment different in the US
compared to other countries?
CORRECT ANSWER : Other countries have a "top-
down" cost control with a set budget on a single-payer system. In the US, we have a multiple-payer system with no direct control over costs, making it hard to contain
Question : Discuss the effectiveness of CON.
CORRECT ANSWER : Certificate of Need laws were
designed to give state funding to new equipment and investments that hospitals would apply for approval for.CON laws failed because of legal challenges and barriers to expansion. They also conflict with the ACA because they haven't been shown to reduce costs. Most states are ready to abandon them altogether
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Question : What are the 4 competition-based cost
containment strategies?
CORRECT ANSWER : 1. Demand-side incentives
CORRECT ANSWER : 2. Supply-side regulation
CORRECT ANSWER : 3. Payer-driven competition
CORRECT ANSWER : 4. Utilization controls
Question : What are the 5 dimensions of access?
CORRECT ANSWER : 1. Availability
CORRECT ANSWER : 2. Accessibility
CORRECT ANSWER : 3. Accommodation
CORRECT ANSWER : 4. Affordability
CORRECT ANSWER : 5. Acceptability
Question : What are the two types of health-related
quality of life?
CORRECT ANSWER : 1. General quality of life and
overall well-being
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CORRECT ANSWER : 2. Disease-related - the effects
of treatments for that disorder and impairments of the disease
Question : What are micro and macro perspectives in
dimensions of quality?
CORRECT ANSWER : Micro - focuses on services at
point of delivery and their effects. Performance of caregiver
CORRECT ANSWER : Macro - looks at population.
Performance of entire system
Question : What are the basic principles of total quality
management?
