MHA 710 Exam 3 LSUS Questions And Answers

MHA 710 Exam 3 LSUS Questions And
Answers
-rCORRECTrrANSWER-

ArtyperIrerrorris:r-rCORRECTrrANSWER-whenrarharmfulrdrugrisrallowedrintorthermarket.

Accordingrtor2020rdata,rapproximatelyrhowrmanyrseniorsrwererenrolledrinrMedicarerAdvant
ager(MA)rplans?r-rCORRECTrrANSWER-25rmillion

AccordingrtorsurveysrbyrtherMerrittrHawkinsrWhiterPaperrSeries,r2018,rtheraveragerfamilyrp
racticerphysicianrearnedrapproximatelyrwhatramountrinr2018?r-rCORRECTrrANSWER-
$247,000

AccordingrtorthermodelrproposedrbyrReinhardtr(1999),rwhichrofrtherfollowingrcontributertorar
physician'srutilityr(selectrallrthatrapply)?r-rCORRECTrrANSWER-
Demandrinducement,rHoursrworked,r&rIncome

Actuariallyrfairrpremium:r-rCORRECTrrANSWER-
Anrinsurancerpremiumrbasedronrtheractuarialrprobabilityrthatranreventrwillroccur.

Assignment:r-rCORRECTrrANSWER-
ArMedicarerpolicyrprovidingrphysiciansrwithrarguaranteedrpaymentrofr80rpercentrofrtherallo
wablerfee.rByracceptingrassignment,rphysiciansragreertoracceptrtherallowablerfeerasrfullrpay
mentrandrforgortherpracticerofrbalancedrbilling.

Balancerbilling:r-rCORRECTrrANSWER-
Billingrarpatientrforrtherdifferencerbetweenrtherphysician'srusualrchargerforrarservicerandrther
maximumrchargerallowedrbyrtherpatient'srhealthrplan.

Byrthertimerardrugrentersrtherclinicalrtrialrphaserofrtestingronrhumans,r-
rCORRECTrrANSWER-anraveragerofrfiveryearsrofrtheroverallrpatentrliferhasralreadyrexpired




Capacity-
constrainedrmedicalrprovidersrwhorgiverfreerhealthrcarertortheruninsuredrarermostrlikelyrtore
ngagerinrcostrshiftingrbyrpassingroffrexcessrcostsrto:r-rCORRECTrrANSWER-
Privatelyrinsuredrpatients

, Changesrcausedrbyrthershiftrfromrcharge-
basedrratesrtornegotiatedrratesrhasrhadrwhichrofrtherfollowingrresults?r-
rCORRECTrrANSWER-

Mostrhospitalsrexperiencerargaprbetweenrtheramountrtheyrreceiverfromrtheirrpayersrandrther
amountrbilled,rwithrreceiptsrasrlowrasr20rpercentroframountrbilled.

Comparedrtorthernot-for-profitrorganizationalrform,rtherfor-profitrenvironmentr-
rCORRECTrrANSWER-allowsrforrthertransferrofrassets.




DanzonrandrFurukawar(2003)rarguerthat:r-rCORRECTrrANSWER-
pharmaceuticalrpricerdifferencesracrossrcountriesrarerroughlyrinrlinerwithrdifferencesrinrperr
capitargrossrdomesticrproduct,rsupportingrtherpredictionsrofrRamseyrpricingrpractices.

Economiesrofrscalerexistrwhen:r-rCORRECTrrANSWER-long-
runraveragercostsrdeclinerasroutputrincreases.

FinkelsteinrandrMcKnightr(2008)rprovideranrempiricalrestimaterofrtherbenefitsrtorseniorsrofrt
her1965rintroductionrofrMedicare.rWhichrofrtherfollowingrstatementsrisrtruerconcerningrtherr
esultsrofrthisrstudy?r-rCORRECTrrANSWER-
TherrealrimpactrofrtherintroductionrofrMedicarerwasronrtherreductionrinrout-of-
pocketrhealthrcarerspendingrforrhouseholdsrfacedrwithrcatastrophicreventsr(thoserinrthertopr
25rpercentrofrspenders).

ForrPartrArcoveragerofrMedicare,rtherpatientrpaysrardeductiblerapproximatelyrequalrtortherco
strofrtherfirstrdayrinrtherhospital;rMedicarerpaysr-rCORRECTrrANSWER-forrdaysr2-60.

Governmentrregulatorsrsometimesrsetrtherpricerofrardrugratritsrmarginalrcostrofrproductionrw
ithoutrincludingrarfairrsharerofrtherglobalrjointrcostrofrresearchrandrdevelopment.rWhichrofrth
erfollowingrstatementsrisrtrueraboutrthisrpractice?r-rCORRECTrrANSWER-
Thisrpracticerisrarclassicrexamplerofrfreerriding.

HowrdorindividualsrenrollrinrPartrArofrMedicare?r-rCORRECTrrANSWER-
Individualsrarerautomaticallyrenrolledronrtheirr65thrbirthdayrasrlongrasrtheyrorrtheirrspouserh
asrpaidrintortherSocialrSecurityrsystemrforr10ryears

Howrmuchrdidrpharmaceuticalrcompaniesrspendronrdirect-to-
consumerradvertisingrinr2019?r-rCORRECTrrANSWER-$6.1rbillion

Inrorderrtorberarsuccessfulrpricerdiscriminator,rarproviderrmustrhaverardegreerofrmarketrpow
err(depictedrbyrardownward-slopingrdemandrcurve)randrmeetrwhatrotherrcondition(s)?r-
rCORRECTrrANSWER-

Marketsrmustrbersegmentable,ridentifyingrdifferencesrinrabilityrtorpay

LegislationrconsideredrbyrCongressrtorrestrictrlegalrimmigrationrwould:r-
rCORRECTrrANSWER-raiserthercostsrofroperatingrinrmanyrofrthernation'srruralrandrinner-

cityrhospitals.