HCA 6013 Dynamics of Healthcare Markets
Module Six: Competition in the Supply of Healthcare
Instructions: Answer the following questions fully. Provide citations where appropriate.
This document contains all answers in one file.
1) What factors might influence a physician’s ordering of services for patients?
2) What type of physician reimbursement mechanisms can be utilized to reduce services?
3) Describe the diagnosis-related groups (DRG) reimbursement system and how it is
designed to function in hospital reimbursement? What factors limit its effectiveness?
4) Complete the table with supply side strategies detailing how they are designed to
function and what the known limits/outcomes are of each model.
Cost Containment Strategies | Definition and Mechanism / What is it designed to do? |
Known Limits / Failures
VBP
Practice Guidelines
Managed Care
ACOs
Utilization Management
PCMHs
Selective Contracting
5) Identify 2 ACO’s in your state/region, describe who operates them (e.g., hospital
system?) and their membership size/scope. Use CMS’ ACO site to find ACOs if you do
not know.
6) How can market power affect the US Healthcare System, using chapter, lecture and/or
powerpoint points to explain your answer? What are some possible policy responses?
, 7) What is cost shifting and how could we better address it?
Module Six: Competition in the Supply of Healthcare
Instructions: Answer the following questions fully. Provide citations where appropriate.
This document contains all answers in one file.
1) What factors might influence a physician’s ordering of services for patients?
2) What type of physician reimbursement mechanisms can be utilized to reduce services?
3) Describe the diagnosis-related groups (DRG) reimbursement system and how it is
designed to function in hospital reimbursement? What factors limit its effectiveness?
4) Complete the table with supply side strategies detailing how they are designed to
function and what the known limits/outcomes are of each model.
Cost Containment Strategies | Definition and Mechanism / What is it designed to do? |
Known Limits / Failures
VBP
Practice Guidelines
Managed Care
ACOs
Utilization Management
PCMHs
Selective Contracting
5) Identify 2 ACO’s in your state/region, describe who operates them (e.g., hospital
system?) and their membership size/scope. Use CMS’ ACO site to find ACOs if you do
not know.
6) How can market power affect the US Healthcare System, using chapter, lecture and/or
powerpoint points to explain your answer? What are some possible policy responses?
, 7) What is cost shifting and how could we better address it?
