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MHA 710 EXAM I

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MHA 710 EXAM I because resources are scarce, what are the 3 important questions to ask cost marginal or incremental cost rational decision making information asymmetry adverse selection social determinants of health scarce resource positive economics normative economics input output marginal analysis life year opportunity cost managed care narrow network bundled payment deductible out-of-pocket payment coinsurance copayment cost sharing moral hazard adverse selection underwriting medicare part A medicare part B fee-for-service (FFS) PPO (Preferred Provider Organization) HMO (Health Maintenance Organization) Point-of-service (POS) plan high-deductible (HD) plan accountable care organization global, risk-adjusted budget community health workers group model HMO capitation staff model HMO independent practice association (IPA) HMO health savings account salary volume-based payment per-service payment case-based payment diagnosis-related group value-based payment objective probaility subjective probability expected value return on investment sensitivity analysis scenario analysis decision tree the expected value is just... range standard deviation variance risk seeker risk seeking risk neutral risk averse risk aversion expected value formula

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MHA 710 EXAM I

1). Because resources are scarce, what are the 3 important questions to ask

 Ans: 1- WHAT shall we produce (or not)
2- HOW shall we produce it
3- WHO gets what produced


2). Cost

 Ans: the value of a resource in its next best use


3). Marginal or incremental cost

 Ans: the cost of producing an additional unit of output


4). Rational decision making

 Ans: choosing the course of action that offers the best outcomes, given the constraints
one faces


5). Information asymmetry

 Ans: when one party in a transaction has less information than the other party


6). Adverse selection

 Ans: when buyers have better information than sellers.
ex: high-risk consumers are willing to pay more for insurance than low-risk consumers
are.


7). Social determinants of health

 Ans: factors that affect health independently of healthcare (education & housing)




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, 8). Scarce resource

 Ans: anything useful in consumption or production that has alternative uses.


9). Positive economics

 Ans: using objective analysis and evidence to answer questions about individuals,
organizations, and societies (factual statements)


10). Normative economics

 Ans: using values to identify the best options. subjective statements of what SHOULD
be


11). Input

 Ans: a good or service used in production


12). Output

 Ans: a good or service produced by an organization


13). Marginal analysis

 Ans: analysis of the effects of small changes in a decision variable (price or volume of
output) on outcomes (costs, profits, or probability of recovery)


14). Life year

 Ans: one additional year of life


15). Opportunity cost

 Ans: value of what one cannot do as a result of making a choice


16). Managed care

 Ans: loosely defined term that includes all plans except open-ended fee-for-service. it is
sometimes used to describe the techniques insurance companies use




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