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MHA 707 EXAM C 2025, HEALTHCARE ADMINISTRATION EXAM, MHA TEST BANK, EXAM C QUESTIONS AND ANSWERS, MHA 707 STUDY GUIDE, HEALTH POLICY EXAM PREP, MHA VERIFIED ANSWERS

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MHA 707 EXAM C 2025, HEALTHCARE ADMINISTRATION EXAM, MHA TEST BANK, EXAM C QUESTIONS AND ANSWERS, MHA 707 STUDY GUIDE, HEALTH POLICY EXAM PREP, MHA VERIFIED ANSWERS National Health Expenditures: NHE - ANSWER-all health care consumption and investments in medical structures and equipment and noncommercial health services and biomedical research NHE - HCE = Amount of investment in the medical sector of economy (buildings, research, equipment) Health Consumption Expenditures: HCE - ANSWER-a subset of NHE, includes personal health care spending, government administration and net cost of private health insurance and public health activities Personal Health Care: PHC - ANSWER-subset of HCE, including all medical goods and service that's used to diagnose, treat, and prevent health problems of a specific person How much NHE spent on Health Care? - ANSWER-$3.49 Trillion Per capita amount: over $10k % of GDP: 18% Buying Power: $1,200 when adjusted by CPI Largest contributors to the Personal Health Care (PHC) - ANSWER-hospitalization, physician services, Rx, other health care goods and services What accounted for the largest share of NHE? - ANSWER-Hospital Care: 33% of spending Professional Services: 20% doctors NHE Retail Rx: 10.5% 2 | Page Three Categories of PHC increased as a share of NHE - ANSWER-Health Residential and Personal Care: 5.2% of NHE Net Cost of Private Health Ins: 6.6% of NHE Home Health Care: 2.8% of NHE Chronic Disease and Mental Health Diseases in NHE (percentage) - ANSWER-90% Among the top 5% of users account for about half of the spending Medical Conditions and Parentages on Americans - ANSWER-90% of Americans have 1 risk factor, 52% have 2 or more highest proportion in impoverished and racial/ethnic minorities Americans Stat on Health Ins Coverage - ANSWER-92% of the US population have some sort of ins (8% or 26.4 M uninsured) Cost/Cost Plus - ANSWER-how hospitals/providers describe payments received for services they have already provided. The organization tracks all the costs associated with each customer and then asks to be paid that amount. Contracts specific that the organization will be reimbursed for actual cost plus an additional percentage of cost (includes built in profit) Moral Hazard - ANSWER-When the act of insuring an event increases the likelihood that the event will happen behaving different when you know someone is taking the risk (induced demand) Adverse Selection - ANSWER-the situation in which one party to a transaction takes advantage of knowing more than the other party to the transaction 3 | Page the sicker people likely want more insurance, compared to those who are healthy Pooling of Risk - ANSWER-Allows individuals to share risk, i.e., insurance companies National Health Expenditure Accounts (NHEA) - ANSWER-Provides official estimates of health care spending in the US. It measures health care consumption and health care investment. NHEA Benefits - ANSWER-Comprehensive: includes all major components of health care system in unified, mutually exclusive, and exhaustive structure Multidimensional: encompasses expenditures as well as payers Consistent: applies a common set of definitions that permits longitudinal comparisons Published by DHHS Accounts in the NHEA - ANSWER-National Health Expenditures: NHE Health Consumption Expenditures: HCE Personal Health Care: PHC How Money is Paid to Health Care Providers - ANSWER-Cost/Cost Plus Time and Materials Fee for Service Fixed Price Capitation Value Time and Materials - ANSWER-A contract type where the seller charges the

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MHA 707 EXAM C 2025, HEALTHCARE ADMINISTRATION EXAM, MHA
TEST BANK, EXAM C QUESTIONS AND ANSWERS, MHA 707 STUDY
GUIDE, HEALTH POLICY EXAM PREP, MHA VERIFIED ANSWERS
National Health Expenditures: NHE - ANSWER-all health care consumption and investments in
medical structures and equipment and noncommercial health services and biomedical research



NHE - HCE = Amount of investment in the medical sector of economy (buildings, research,
equipment)



Health Consumption Expenditures: HCE - ANSWER-a subset of NHE, includes personal health
care spending, government administration and net cost of private health insurance and public
health activities



Personal Health Care: PHC - ANSWER-subset of HCE, including all medical goods and service
that's used to diagnose, treat, and prevent health problems of a specific person



How much NHE spent on Health Care? - ANSWER-$3.49 Trillion

Per capita amount: over $10k

% of GDP: 18%

Buying Power: $1,200 when adjusted by CPI



Largest contributors to the Personal Health Care (PHC) - ANSWER-hospitalization, physician
services, Rx, other health care goods and services



What accounted for the largest share of NHE? - ANSWER-Hospital Care: 33% of spending

Professional Services: 20% doctors NHE

Retail Rx: 10.5%

,2|Page




Three Categories of PHC increased as a share of NHE - ANSWER-Health Residential and Personal
Care: 5.2% of NHE

Net Cost of Private Health Ins: 6.6% of NHE

Home Health Care: 2.8% of NHE



Chronic Disease and Mental Health Diseases in NHE (percentage) - ANSWER-90%

Among the top 5% of users account for about half of the spending



Medical Conditions and Parentages on Americans - ANSWER-90% of Americans have 1 risk
factor, 52% have 2 or more highest proportion in impoverished and racial/ethnic minorities



Americans Stat on Health Ins Coverage - ANSWER-92% of the US population have some sort of
ins (8% or 26.4 M uninsured)



Cost/Cost Plus - ANSWER-how hospitals/providers describe payments received for services they
have already provided. The organization tracks all the costs associated with each customer and
then asks to be paid that amount. Contracts specific that the organization will be reimbursed for
actual cost plus an additional percentage of cost (includes built in profit)



Moral Hazard - ANSWER-When the act of insuring an event increases the likelihood that the
event will happen



behaving different when you know someone is taking the risk (induced demand)



Adverse Selection - ANSWER-the situation in which one party to a transaction takes advantage
of knowing more than the other party to the transaction

, 3|Page


the sicker people likely want more insurance, compared to those who are healthy



Pooling of Risk - ANSWER-Allows individuals to share risk, i.e., insurance companies



National Health Expenditure Accounts (NHEA) - ANSWER-Provides official estimates of health
care spending in the US. It measures health care consumption and health care investment.



NHEA Benefits - ANSWER-Comprehensive: includes all major components of health care system
in unified, mutually exclusive, and exhaustive structure



Multidimensional: encompasses expenditures as well as payers



Consistent: applies a common set of definitions that permits longitudinal comparisons

Published by DHHS



Accounts in the NHEA - ANSWER-National Health Expenditures: NHE

Health Consumption Expenditures: HCE

Personal Health Care: PHC



How Money is Paid to Health Care Providers - ANSWER-Cost/Cost Plus

Time and Materials

Fee for Service

Fixed Price

Capitation

Value



Time and Materials - ANSWER-A contract type where the seller charges the

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