MHA 707 EXAM C Questions with100% Correct
Answers
What department publishes data annually on total health expenditures?
DHHS publishes health expenditures known as National Health Expenditure accounts (NHEA).
What is the goal for the NHEA?
To measure spending on health care consumption and healthcare investment in the medical
sector.
Healthcare spending has
Increased in the US since 1960
In 2017 the NHE was approximately
$34.9 trillion, 17.9% of GDP, and 10,379 per capita
In 1960 spending per capita was
$146 and adjusted for inflation is $1207
The per capita spending is
One third of the per capita income
What did the decrease in spending on healthcare correlate with in 1991
The advent of of managed care and its downward pressure on both physician and hospital usage
A tool to analyze the drivers of cost and their increases
Cost=Price X Quantity
,What proportion of expenditures goes toward investments, a category that includes
research and structures and equipment
5% to 10%
What has accounted for the largest share of NHE since 1960
Hospital care at about 33%
What accounted for the second largest share of NHE
Professional services i.e physician services, at 26%
What accounted for the third largest share of NHE
Retail prescription drugs
What has increased the share of NHE
Residential and personal care services which includes ambulance providers and care delivered in
residential care facilities, as well as nontraditional settings such as community centers and
schools
The administrative costs in the U.S are
8.3% compared to other OECD countries with an average administrative cost of 3%
What is the primary difference between NHE and MEPS data
The NHEA attempts to capture all health care expenditures in the US, while the MEPS attempts
to provide more granular estimates of the health care utilization and expenditures of non-
institutionalized civilians
, The top 10 medical conditions by total expenditures in 2015 were
Chronic disease
What is the second highest total expenditures for NHE
Trauma related disorders
Third party payers typically
Maintain a network of providers with which they have negotiated contracts
Most services utilized among the lowest 70% are
Ambulatory and dental spending, with almost no hospital stays
In 2013 14% of patients who were in the top 1% of utilization
Were also in the top 1% of utilization for the year 2012
Most utilization of healthcare occurs
In the last year to six months of life
People do not buy health insurance to insure their health but rather
To insure their ability to pay for (and obtain) health care in the event their health status changes
A motivation for a third party payers
To bridge the gap between how people want to pay for health care and how providers want to be
paid
Most providers offer services
Under multiple and differing charging models
Answers
What department publishes data annually on total health expenditures?
DHHS publishes health expenditures known as National Health Expenditure accounts (NHEA).
What is the goal for the NHEA?
To measure spending on health care consumption and healthcare investment in the medical
sector.
Healthcare spending has
Increased in the US since 1960
In 2017 the NHE was approximately
$34.9 trillion, 17.9% of GDP, and 10,379 per capita
In 1960 spending per capita was
$146 and adjusted for inflation is $1207
The per capita spending is
One third of the per capita income
What did the decrease in spending on healthcare correlate with in 1991
The advent of of managed care and its downward pressure on both physician and hospital usage
A tool to analyze the drivers of cost and their increases
Cost=Price X Quantity
,What proportion of expenditures goes toward investments, a category that includes
research and structures and equipment
5% to 10%
What has accounted for the largest share of NHE since 1960
Hospital care at about 33%
What accounted for the second largest share of NHE
Professional services i.e physician services, at 26%
What accounted for the third largest share of NHE
Retail prescription drugs
What has increased the share of NHE
Residential and personal care services which includes ambulance providers and care delivered in
residential care facilities, as well as nontraditional settings such as community centers and
schools
The administrative costs in the U.S are
8.3% compared to other OECD countries with an average administrative cost of 3%
What is the primary difference between NHE and MEPS data
The NHEA attempts to capture all health care expenditures in the US, while the MEPS attempts
to provide more granular estimates of the health care utilization and expenditures of non-
institutionalized civilians
, The top 10 medical conditions by total expenditures in 2015 were
Chronic disease
What is the second highest total expenditures for NHE
Trauma related disorders
Third party payers typically
Maintain a network of providers with which they have negotiated contracts
Most services utilized among the lowest 70% are
Ambulatory and dental spending, with almost no hospital stays
In 2013 14% of patients who were in the top 1% of utilization
Were also in the top 1% of utilization for the year 2012
Most utilization of healthcare occurs
In the last year to six months of life
People do not buy health insurance to insure their health but rather
To insure their ability to pay for (and obtain) health care in the event their health status changes
A motivation for a third party payers
To bridge the gap between how people want to pay for health care and how providers want to be
paid
Most providers offer services
Under multiple and differing charging models
