HCMG

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HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A MASTERING A+ MATERIAL! Where do savings come from in Medicare bundled payment programs? All savings by program design come from post acute care (hospitals are paid prospective payment for each patient upfront... so all savings come later) Oncology Care Model The Center for Medicare & Medicaid Innovation (CMS Innovation Center) is developing new payment and delivery models designed to improve the effectiveness and efficiency of specialty care. Among...

HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A MASTERING A+ MATERIAL! Public health i) the science and art of preventing disease, prolonging life, and promoting health through the organized efforts and informed choices of society, organizations, public and private communities and individuals ii) public health aims to provide the maximum benefit for the largest number of people (health of populations vs individuals, societal focus - values related to the distribution and allocation of resource...

HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A MASTERING A+ MATERIAL! Who do taxes affect? Income: all earnings, wages: workers only, sales (VAT)- consumers How options are there for voluntary private payment? Employer/employee premiums: sometimes tax exempt, out of pocket: moral hazard What are component options for insurance? Public system and public plus private systems What is insurance also known as? Risk Pooling What options does the Public system of insurance include? single vs. mu...

HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A MASTERING A+ MATERIAL! How does health spending impact take home wages? Take home wages are different from compensation- lots of money goes into labor 56.4%, but take home wages go from 51.8 to 45.6 because of benefits In a consultant survey, what was the vote for cost driver with most influence on all costs? Hospital costs How has spending on hospitals, physicians, and prescriptions varied overtime? Varies by service- 70s led by hospital expendi...

HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A MASTERING A+ MATERIAL! What does the average person spend more on- food, shelter, or healthcare? Housing (18%), Medical Care (17%), Food/ Cars and furniture (14%), Clothing and shoes (3%) What are national health expenditures the total amount of al spending in the U.S. on Healthcare What was the total NHE in 2014? 3 trillion What was the total NHE in 2015? 3.2 trillion Based on the NHE from 2015, if the health sector were its own country, how ...

HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A MASTERING A+ MATERIAL! what happened to provena covenant medical center Illinois supreme court ruled that provena covenant medical center did not meet requirements for tax exemption. it waived only 0.7% of its revenue, less than tax benefits it received from being a nonprofit. also only 302 of the hospital's admissions involved charitable care what has been the trend in hospital payment shortfall relative to costs for Medicare and Medicaid? no s...

HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A MASTERING A+ MATERIAL! How has the rise in unemployment in changed health coverage? 2.8% rise in national unemployment rate increased Medicaid enrollment by 2.8 million and the number of uninsured by 3 million how will the new health reform law change medic aid eligibility expand eligibility to those under 65 and with incomes below 133% of poverty. will increase medic aid enrollment by 16 million by 2019? federal government will finance 100% from ...

HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A MASTERING A+ MATERIAL! Reducing low-value therapies is a focus, with insurers cutting reimbursements, but disadoption occurs more slowly than adoption. Mechanisms driving abandonment decisions Externally produced signals - Financial Incentives - Peer influence Internally produced signals - Relative skill How does relative skill impact low-value care? Physicians' skills affect their response to information, with low-value care linked to th...

HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A MASTERING A+ MATERIAL! Rothschild-Stiglitz Model: 2 Constraints 1) incentive compatibility (IC) 2) firm's participation 1) incentive compatibility (IC) constraint - We don't want high-risk individual to "disguise" themselves as low-risk.- We do that by choosing a contract that lies on UH, the indifference curve for the high-risk individual 2) Firm's participation - We want to allow the firm to break-even while not making abnormal ...