MHA 710 Exam 1 Questions And
Answers
AccountablerCarerOrganizationr-rCORRECTrrANSWER-
Networkrofrprovidersrthatrhaverfinancialrincentivesrtorreducerspendingrandrimproveroutcom
es.
AdverserSelectionr-rCORRECTrrANSWER-
Arsituationrthatroccursrwhenrbuyersrhaverbetterrinformationrthanrsellers.rForrexample,rhigh-
riskrconsumersrarerwillingrtorpayrmorerforrinsurancerthanrlow-
riskrconsumersrare.r(Organizationsrthatrhaverdifficultyrdistinguishingrhigh-riskrfromrlow-
riskrconsumersrarerunlikelyrtorberprofitable.)
Asrwerprogressrthroughrtherchapters,rthinkraboutrtherspecialrcharacteristicsrthatrapplyrtorthe
rhealthrsectorrthatrmightrlimitrtherapplicabilityrofrtraditionalreconomicrmodels.r-
rCORRECTrrANSWER-
Socialrdeterminantsrofrhealth,rfewrinsurancercompaniesrthatrprovidersrrelyron,rnotrarperfectl
yrcompetitivermarket
BundledrPaymentr-rCORRECTrrANSWER-
Paymentrofrarfixedramountrforranrepisoderofrcare.rTherpaymentrmightrcoverrjustrhospitalrcar
erorrmightrincludertherphysician,rhospital,randrrehabilitation.
C-rSectionr-rCORRECTrrANSWER-Surgicalrdeliveryrofrarbaby.
Capitationr-rCORRECTrrANSWER-
Paymentrperrperson.r(Therpaymentrdoesrnotrdependronrtheramountrorrtyperofrservicesrprovi
ded.)
CaserBasedrPaymentr-rCORRECTrrANSWER-
Arsinglerpaymentrforranrepisoderofrcare,rregardlessrofrthernumberrofrservices.
Chapterr1rKeyrConceptsr-rCORRECTrrANSWER-
Economicsrhelpsrmanagersrfocusronrkeyrissues.
Economicsrhelpsrmanagersrunderstandrgoal-orientedrdecisionrmaking.
Economicsrhelpsrmanagersrunderstandrstrategicrdecisionrmaking.
, Economicsrgivesrmanagersrarframeworkrforrunderstandingrcosts.
Economicsrgivesrmanagersrarframeworkrforrunderstandingrmarketrdemand.
Economicsrgivesrmanagersrarframeworkrforrassessingrprofitability.
Economicsrhelpsrmanagersrunderstandrriskrandruncertainty.
Economicsrhelpsrmanagersrunderstandrinsurance.
Economicsrhelpsrmanagersrunderstandrinformationrasymmetries.
Economicsrhelpsrmanagersrdealrwithrrapidrchange.
Chapterr2rKeyrConceptsr-rCORRECTrrANSWER-
Healthcarerproductsrarerinputsrintorhealth.
Healthcarerproductsrareralsoroutputsrofrtherhealthcarersector.
Therusefulnessrofrhealthcarerproductsrvariesrwidely.
Marginalranalysisrhelpsrmanagersrfocusronrtherrightrquestions.
LiferexpectanciesrhaverincreasedrsharplyrinrtherUnitedrStatesrinrrecentryears.
Otherrwealthyrcountriesrhaverseenrlargerrhealthrgainsrwithrsmallerrcostrincreases.
Therhealthcarersectorrisrchangingrradicallyrinrresponsertortechnologyrandrpolicyrchanges.
Chapterr3rKeyrConceptsr-rCORRECTrrANSWER-•rInsurancerpoolsrtherrisksrofrhighrcosts.r
•rMoralrhazardrandradverserselectionrcomplicaterriskrpooling.r
•rAboutr91rpercentrofrtherUSrpopulationrhasrmedicalrinsurance.r
•rConsumersrpayrforrmostrmedicalrcarerindirectly,rthroughrtaxesrandrinsurancerpremiums.r
•rMostrconsumersrobtainrcoveragerthroughranremployer-rorrgovernment-sponsoredrplan.r
•rManagedrcarerhasrlargelyrreplacedrtraditionalrinsurance.r
•rManagedrcarerplansrdifferrwidely.
Chapterr4rKeyrConceptsr-rCORRECTrrANSWER-
Clinicalrandrmanagerialrdecisionsrtypicallyrentailruncertaintyraboutrwhatrwillrhappen.
Answers
AccountablerCarerOrganizationr-rCORRECTrrANSWER-
Networkrofrprovidersrthatrhaverfinancialrincentivesrtorreducerspendingrandrimproveroutcom
es.
AdverserSelectionr-rCORRECTrrANSWER-
Arsituationrthatroccursrwhenrbuyersrhaverbetterrinformationrthanrsellers.rForrexample,rhigh-
riskrconsumersrarerwillingrtorpayrmorerforrinsurancerthanrlow-
riskrconsumersrare.r(Organizationsrthatrhaverdifficultyrdistinguishingrhigh-riskrfromrlow-
riskrconsumersrarerunlikelyrtorberprofitable.)
Asrwerprogressrthroughrtherchapters,rthinkraboutrtherspecialrcharacteristicsrthatrapplyrtorthe
rhealthrsectorrthatrmightrlimitrtherapplicabilityrofrtraditionalreconomicrmodels.r-
rCORRECTrrANSWER-
Socialrdeterminantsrofrhealth,rfewrinsurancercompaniesrthatrprovidersrrelyron,rnotrarperfectl
yrcompetitivermarket
BundledrPaymentr-rCORRECTrrANSWER-
Paymentrofrarfixedramountrforranrepisoderofrcare.rTherpaymentrmightrcoverrjustrhospitalrcar
erorrmightrincludertherphysician,rhospital,randrrehabilitation.
C-rSectionr-rCORRECTrrANSWER-Surgicalrdeliveryrofrarbaby.
Capitationr-rCORRECTrrANSWER-
Paymentrperrperson.r(Therpaymentrdoesrnotrdependronrtheramountrorrtyperofrservicesrprovi
ded.)
CaserBasedrPaymentr-rCORRECTrrANSWER-
Arsinglerpaymentrforranrepisoderofrcare,rregardlessrofrthernumberrofrservices.
Chapterr1rKeyrConceptsr-rCORRECTrrANSWER-
Economicsrhelpsrmanagersrfocusronrkeyrissues.
Economicsrhelpsrmanagersrunderstandrgoal-orientedrdecisionrmaking.
Economicsrhelpsrmanagersrunderstandrstrategicrdecisionrmaking.
, Economicsrgivesrmanagersrarframeworkrforrunderstandingrcosts.
Economicsrgivesrmanagersrarframeworkrforrunderstandingrmarketrdemand.
Economicsrgivesrmanagersrarframeworkrforrassessingrprofitability.
Economicsrhelpsrmanagersrunderstandrriskrandruncertainty.
Economicsrhelpsrmanagersrunderstandrinsurance.
Economicsrhelpsrmanagersrunderstandrinformationrasymmetries.
Economicsrhelpsrmanagersrdealrwithrrapidrchange.
Chapterr2rKeyrConceptsr-rCORRECTrrANSWER-
Healthcarerproductsrarerinputsrintorhealth.
Healthcarerproductsrareralsoroutputsrofrtherhealthcarersector.
Therusefulnessrofrhealthcarerproductsrvariesrwidely.
Marginalranalysisrhelpsrmanagersrfocusronrtherrightrquestions.
LiferexpectanciesrhaverincreasedrsharplyrinrtherUnitedrStatesrinrrecentryears.
Otherrwealthyrcountriesrhaverseenrlargerrhealthrgainsrwithrsmallerrcostrincreases.
Therhealthcarersectorrisrchangingrradicallyrinrresponsertortechnologyrandrpolicyrchanges.
Chapterr3rKeyrConceptsr-rCORRECTrrANSWER-•rInsurancerpoolsrtherrisksrofrhighrcosts.r
•rMoralrhazardrandradverserselectionrcomplicaterriskrpooling.r
•rAboutr91rpercentrofrtherUSrpopulationrhasrmedicalrinsurance.r
•rConsumersrpayrforrmostrmedicalrcarerindirectly,rthroughrtaxesrandrinsurancerpremiums.r
•rMostrconsumersrobtainrcoveragerthroughranremployer-rorrgovernment-sponsoredrplan.r
•rManagedrcarerhasrlargelyrreplacedrtraditionalrinsurance.r
•rManagedrcarerplansrdifferrwidely.
Chapterr4rKeyrConceptsr-rCORRECTrrANSWER-
Clinicalrandrmanagerialrdecisionsrtypicallyrentailruncertaintyraboutrwhatrwillrhappen.