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foregone opportunities and value based on the alternative
Opportunity cost is a measure of
not chosen.
The opportunity cost of investing in a new lithotripter (a
defined by the next best use of the money invested in the
machine that pulverizes kidney stones with sound waves)
equipment.
is
What percentage of Americans considered the complete
repeal of the Patient Protection And Attordable Care Act of 40 percent
2010 a good thing?
By 2020, what was the forecasted percentage amount of
10.4 percent
health care spending paid by individuals?
The "invisible hand" using Adam Smith's terminology
market forces working through the price mechanism.
refers to
According to recent public opinion polls, what percentage
of Americans are satisfied with the quality of the medical 70 percent
care they receive?
According to economic theory what is the optimal per- There is no widely accepted way to determine the optimal
centage of GDP to be spent on medical care? percentage.
Individuals without health insurance have less access to
Which of the following statements is based on positive physicians' services than those who have health insurance
analysis? and The high cost of health insurance places U.S. firms at a
competitive disadvantage with their foreign competitors.
A public health insurance plan comparable to Medicaid,
Public option
designed to compete with private insurance.
A state in which multiple outcomes are possible but the
Uncertainty
likelihood of any one outcome is not known.
A periodic payment required to purchase an insurance
Premium
policy.
,MHA 710 Comprehensive Resource To Help You Ace 2026-2027 Includes Frequently Tested
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A plan whereby an entire group receives insurance under
Group insurance a single policy. The insurance is actually issued to the plan
holder, usually an employer or association.
Health insurance for the elderly provided under an
Medicare
amendment to the Social Security Act.
Health insurance for the poor financed jointly by federal
Medicaid
and state governments.
A 1910 report published as part of a critical review of
medical education in the United States. The response of
Flexner Report the medical establishment led to significant changes in
the accreditation procedures of medical schools and an
improvement in the quality of medical care.
The negotiation process whereby representatives of em-
Collective bargaining ployers and employees agree upon the terms of a labor
contract, including wages and benefits.
The practice of charging higher prices to one group of
patients, usually those with health insurance, in order to
Cost shifting
provide free care to the uninsured or discounted care to
those served by Medicare and Medicaid
Regulations that attempt to avoid the costly duplication of
services in the hospital industry. Providers are required to
Certificate of need (CON)
secure a certificate of need before undertaking a major
expansion of facilities or services.
Federal legislation passed in 1974 that sets minimum
standards on employee benefit plans, such as pensions,
health insurance, and disability. The statute protects the
Employee Retirement Income Security Act (ERISA)
interests of employees in matters concerning eligibility
for benefits. The law also protects employers from certain
state regulations. For example, states are not allowed to
, MHA 710 Comprehensive Resource To Help You Ace 2026-2027 Includes Frequently Tested
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regulate self-insured plans and cannot mandate that em-
ployers provide health insurance to their employees.
Government assistance programs where eligibility is de-
termined by a specified criteria, such as age, health status,
Entitlement programs and level of income. These programs include Social Secu-
rity, Medicare, Medicaid, Temporary Assistance for Needy
Families (TANF), and many others.
Payment determined prior to the provision of services. A
Prospective payment feature of many managed care organizations that base
payment on capitation.
A payment method providing a fixed, per capita payment
to providers for a specified medical benefits package.
Providers are required to treat a well-defined population
Capitation
for a fixed sum of money, paid in advance, without regard
to the number or nature of the services provided to each
person.
A patient classification scheme based on certain demo-
Diagnosis-related group graphic, diagnostic, and therapeutic characteristics devel-
oped by Medicare and used to compensate hospitals.
An index that assigns weights to various medical services
Relative-value scale
used to determine the relative fees assigned to them.
Payment determined after delivery of the good or service.
Retrospective payment Traditional fee-for-service medicine determines payment
retrospectively.
A delivery system that originally integrated the financing
and provision of medical care in one organization. Today,
Managed care
the term encompasses ditterent arrangements designed
to coordinate services and control costs.