1. "What is meant by the 1. Billings and premiums that the patient pays
term "health care costs" 2.How much debt the nation is in for medical
Give the 3 meanings expenses
3. The cost of producing services such as sup-
plies and equipment
2. Rand Health - How does The experiment showed how people who paid
it show relationship of ris- out of pocket were less likely to utilize the ser-
ing costs and third party vices, making them spend less. Those who were
reimbursement? covered used the services more. No difference
in health status was noted
3. How does an imperfect A free market is driven by supply and demand.
market have higher price Our market is only partially a free market, and
and quantity than a highly is driven by a multiple payers system, making it
competitive market? difficult to negotiate prices
4. How is cost containment Other countries have a "top-down" cost control
different in the US com- with a set budget on a single-payer system. In
pared to other countries? the US, we have a multiple-payer system with
no direct control over costs, making it hard to
contain.
5. Discuss the effectiveness Certificate of Need laws were designed to give
of CON state funding to new equipment and investments
that hospitals would apply for approval for. CON
laws failed because of legal challenges and bar-
riers to expansion. They also conflict with the
ACA because they haven't been shown to reduce
costs. Most states are ready to abandon them all
together
6. What are the 4 competi- 1. Demand-side Incentives
tion based cost contain- 2.Supply-side regulation
ment strategies? 3.Payer-driven competition
4.Utilization controls
7. What are the 5 dimen- 1. Availability
sions of access? 2.. Accessibility
1/4