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Accounts in the NHEA - correct answer- National Health
Expenditures: NHE
Health Consumption Expenditures: HCE
Personal Health Care: PHC
Adverse Selection - correct answer- the situation in
which one party to a transaction takes advantage of knowing
more than the other party to the transaction
the sicker people likely want more insurance, compared to those
who are healthy
Age-Adjusted Mortality Rate - correct answer- A
mortality rate statistically modified to eliminate the effect of
different age distributions in the different populations.
Americans Stat on Health Ins Coverage - correct answer-
92% of the US population have some sort of ins (8% or 26.4 M
uninsured)
,Baker and Chassin Four Criteria for All Out Measure - correct
answer- Strong evidence should exist that good medical
care should exist leads to improvement in the outcome within
the same time period for the measure
The outcome should be measurable with a high degree of
precision
The risk adjustment methodology should include accurately
measuring the risk factors most strongly associated with the
outcome
Implementation of the outcome measure must have little
chance of inducing unintended adverse consequences
Barriers of HIE Dream - correct answer- -Funding
-Lack of interoperability
-Pt can access their own health info
-Providers lack access pt. data, due to multiple provider
maintaining different pieces of data
-Payers lack access to clinical data to access the value of services
provided to their customers
, Benchmarking - correct answer- a process by which a
company compares its performance with that of high-
performing organizations
can be average or mediocre
can be used by previous performance review
Benchmarking - correct answer- current starting point of
stat/data
Determines quality access equity cost and efficiency
Capitation - correct answer- fixed payment per person to
the health care provider for an agreed-on array of services
during a contract period (per member/per month). Payment is
the same no matter the amount or type of service. May put the
physician at odds with the patient
Chronic Disease and Mental Health Diseases in NHE (percentage)
- correct answer- 90%
Among the top 5% of users account for about half of the
spending