—Healthcare Payment, Cost Drivers & + Test Bank Chapter.10 - Test Bank | U.S. Health Policy & Government 1e by Higbea by Raymond J. Higbea. DOCX document preview.
Chapter 10—Healthcare Payment, Cost Drivers & Behavioral Economics
Multiple Choice
- Which of the following factors have contributed to the devolution of a near perfect healthcare market to an imperfect market?
[1] Knowledge asymmetry
[2] Scientific advancements
[3] Blurring of cost transparency
[4] 1. & 3.
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Which of the following is the most accurate historical progression of payment for health services since the Industrial Revolution?
[1] Prepaid plans - Blue Shield - Sickness Funds - Employer Tax Deduction - Medicare & Medicaid
[2] Prepaid plans - Blue Cross - Sickness Funds - Employer Tax Deduction - Medicare & Medicaid
[3] Prepaid Plans - Sickness Funds - Blue Shield - Employer Tax Deduction - Medicare & Medicaid
[4] Sickness Funds - Prepaid Plans - Blue Cross - Medicare & Medicaid - Employer Tax Deduction
[5] Sickness Funds - Prepaid Plans - Blue Shield - Medicare & Medicaid - Employer Tax Deduction
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Which of the following set of actions contributed to the establishment of a tax deduction for employer sponsored health insurance?
[1] War Labor Board wage and price freeze allowance of non-cash wages (benefits - health insurance)
[2] Supreme Court Ruling that benefits could be included in labor negotiations
[3] Hospital Survey and Construction Act linking hospital construction incentives to provision of charity care.
[4] 1. & 2.
[5] 1. & 3.
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Complete the sentence with the most appropriate words or phrases. Since the mid 1960s, healthcare legislation has sought to increase __________, decrease __________, and increase __________.
[1] cost - access - quality
[2] access - cost - quality
[3] quality - access - cost
[4] accountability - access - cost
[5] cost - accountability – access
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Application
- Which of the following are elements of modern health insurance plans?
[1] Prepaid plans (preventive care)
[2] Indemnification (hospital and rehabilitation care)
[3] Reinsurance (loss prevention)
[4] 1. & 2.
[5] 1., 2., & 3.
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Application
- Complete the sentences with the most appropriate words or phrases.
Physicians function as __________ for patients. While physicians claim __________ agency, research documents they function as __________. Physician pay is __________ and __________ to OECD peers.
[1] agents - moral - agents of economic self-interest - high - comparable
[2] agents - moral - agents of economic self-interest - high - not comparable
[3] agents - moral - agents of economic self-interest - moderate - not comparable
[4] agents - economic - moral - high - not comparable
[5] principles - economic - moral - moderate – comparable
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Application
- Which of the following statements regarding aging and healthcare costs is NOT true?
[1] From 60 years of age to 90 years of age, the cost of healthcare services for men and women escalates at the same rate.
[2] At age 90 years, the cost of healthcare services for women plateaus while the cost for men continues to escalate.
[3] The Medicare costs for a 95-year old retiree is 3 times higher for an individual who retired at 55 years of age than one who retired at 70 years of age.
[4] Scholars have documented that 25% to 30% of lifetime medical expenditures occur in the last year of life with 80% of those costs occurring in the last 60 days of life.
[5] Hospice admission lengths of stay have doubled from 48 days in 1998 to 73 days in 2009.
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Which neoclassical / behavioral economic dyad is NOT correct?
[1] Rational / Not Rational
[2] Preferences / Experience
[3] Full Information / Incomplete Information
[4] Path Independent / Path Dependent
[5] Mistakes Systematic / Mistakes Random
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Which of the following concepts ARE associated with hedonic and decision efficiency?
[1] Decision efficiency occurs when payment is coupled with purchase.
[2] Decision efficiency occurs when system 2 thinking over powers system 1 thinking.
[3] Hedonic efficiency occurs when payment is decoupled from purchase.
[1] 1. & 2.
[5] 1. & 3.
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Which of the following is NOT associated with getting to zero?
[1] Moral hazard
[2] Perceived value gain
[3] 1974 Rand Insurance experiment
[4] Increased price salience to avoid moral hazard
[5] Increased price vividness through minimal payment coupling
Subject: Chapter 9
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Which of the following is NOT true about USA Healthcare payment?
[1] It is incented to increase volume
[2] It is incented to reward hard work
[3] It is incented to only provide necessary care
[4] It is incented to encourage prevention over treatment
[5] It is incented to toward fraud
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Which of the following is TRUE about USA Healthcare payment?
[1] The Hill-Burton Act of 1946 encouraged the construction of long-term care facilities
[2] Medicare payment schema evolved from the Hill-Burton Act
[3] Medicare was modeled after 1960 BC/BS plans
[4] Medicare cost increases have been in line with CPI inflation
[5] Medicare’s enactment of the Prospective Payment System had no effect on how hospitals delivered care
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Which of the following statements is NOT true about physician payment?
[1] Physician practice has not been incented by the fee-for-service payment model
[2] Physicians have been incented to become specialists in part as a result of the payment system
[3] The payment model has caused medical specialists to move from cognitive care to procedural care
[4] The high cost of medical care incents physicians to pursue specialty practice
[5] The payment model for physicians is going to have to change if we are going to bring costs under control
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Which of the following statements is NOT true about the economics of health care?
[1] The first substantial attempt to control Health Service Organization costs was the Prospective Payment system
[2] Payment models have incented the evolution of how Health Service Organizations deliver healthcare
[3] Basic scientific research grants are provided by the CDC
[4] Our aging population is driving up the cost of healthcare
[5] Excessive end of life care is an avoidable healthcare cost
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
Short Answer & Essay
- Discussion question: How are OECD countries relevant to the development of health policy?
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Discussion question: How are payment models relevant to the development of health policy?
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Analysis.
- Discussion question: How does payment drive delivery models?
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall.
- Discussion question: Provide an example of how the healthcare executive should engage the development of payment models. Discuss.
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Application
- Discussion question: Discuss the complexity of controlling healthcare costs?
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Recall
- Discussion question: Discuss how policy can be used to control healthcare costs.
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Application.
- Discussion Question: Discuss how healthcare executives can be involved in developing policies and practices to control healthcare costs.
Subject: Chapter 10
Complexity: Moderate
Simplified Functional Taxonomy: Application.
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Test Bank | U.S. Health Policy & Government 1e by Higbea
By Raymond J. Higbea