MHA 707 test 1 Questions with100% Correct
Answers
The Importance of good health care in America:
- altruistic oriented set of providers and activities + huge industry + profitability
- 20% of our GDP is devoted to medical care and health promotion (value)
- 11% of all US jobs are in the health sector
- sizable share of our income is spent on the health care we need
Characteristics of US health system
- not ordered or organized as a single enterprise
- actors and organizations often work independently
- little coordination between players
- system continues to evolve haphazardly
health maintenance
- clear difference between health "maintenance" and "restoring" health
- medical care systems care for people even if restoring health is impossible
fee for service
a system under which doctors and hospitals receive a payment for each service they provide
health care delivery
1. the importance of organizations in delivering care
2. the role of professionals in running our system
3. the emergence of new medical technology, smartphones, big data, new pharma.
,4. tension between free market and government control
5. a dysfunctional payment system
customer friendly
the health system could do much more to improve the experience of patients receiving care
1. improving quality
access to health care
not always ensured. many rural areas have shortages of doctors and other providers and many
doctors refuse to see patients with certain types of insurance because of low payment rates
2. improving access and coverage
Major Issues and Concerns
3. slowing growth of health care expenditures
4. encouraging healthy behavior
5. improving the public health system
6. addressing inequalities in access
stakeholder
set of people who have a strong interest in how something in our society is done.
1. consumers
2. providers
3. employers
4. insurers
5. public policy makers
, workforce
motivated principally by the social goal of keeping people healthy
consumer stakeholder
- should be at the center of the health system
- sometimes bystanders in decisions affecting their own health and payment issues
- WANT access to quality and affordable health care for self and family
providers stakeholders
- work to advance medical knowledge
- motivated by the social goal to keep everyone healthy
- face financial pressures to prevent health care costs from increasing
- WANT fair opportunities to earn incomes that reflect their expertise and workload
employers stakeholders
- most offer insurance as a benefit
- WANT healthy employees who are productive and who do not have to take time off because of
illness
- WANT a slowdown in their health care cost and responsibility shifted to eomployees
insurer stakeholders
- act of intermediary among payers, providers, and consumers to determine that kinds of health
care covered by employer's insurance plan
- changing payment approaches could compete with traditional insurance companies (direct
contracting)
Answers
The Importance of good health care in America:
- altruistic oriented set of providers and activities + huge industry + profitability
- 20% of our GDP is devoted to medical care and health promotion (value)
- 11% of all US jobs are in the health sector
- sizable share of our income is spent on the health care we need
Characteristics of US health system
- not ordered or organized as a single enterprise
- actors and organizations often work independently
- little coordination between players
- system continues to evolve haphazardly
health maintenance
- clear difference between health "maintenance" and "restoring" health
- medical care systems care for people even if restoring health is impossible
fee for service
a system under which doctors and hospitals receive a payment for each service they provide
health care delivery
1. the importance of organizations in delivering care
2. the role of professionals in running our system
3. the emergence of new medical technology, smartphones, big data, new pharma.
,4. tension between free market and government control
5. a dysfunctional payment system
customer friendly
the health system could do much more to improve the experience of patients receiving care
1. improving quality
access to health care
not always ensured. many rural areas have shortages of doctors and other providers and many
doctors refuse to see patients with certain types of insurance because of low payment rates
2. improving access and coverage
Major Issues and Concerns
3. slowing growth of health care expenditures
4. encouraging healthy behavior
5. improving the public health system
6. addressing inequalities in access
stakeholder
set of people who have a strong interest in how something in our society is done.
1. consumers
2. providers
3. employers
4. insurers
5. public policy makers
, workforce
motivated principally by the social goal of keeping people healthy
consumer stakeholder
- should be at the center of the health system
- sometimes bystanders in decisions affecting their own health and payment issues
- WANT access to quality and affordable health care for self and family
providers stakeholders
- work to advance medical knowledge
- motivated by the social goal to keep everyone healthy
- face financial pressures to prevent health care costs from increasing
- WANT fair opportunities to earn incomes that reflect their expertise and workload
employers stakeholders
- most offer insurance as a benefit
- WANT healthy employees who are productive and who do not have to take time off because of
illness
- WANT a slowdown in their health care cost and responsibility shifted to eomployees
insurer stakeholders
- act of intermediary among payers, providers, and consumers to determine that kinds of health
care covered by employer's insurance plan
- changing payment approaches could compete with traditional insurance companies (direct
contracting)
