Chapter 12

Question 0

Higher the quality and the broader the access?

Answer 0

Higher the cost

Question 1

What are the three cornerstones for healthcare delivery?

Answer 1

Cost, access, and quality

Question 2

Cost include?

Answer 2

Reimbursement for services, cost of equipment and supplies, and operational overhead

Question 3

Cost spiraled after the Medicare and Medicaid legislation allowed?

Answer 3

For expansion of services and broader criteria for participation in eligibility

Question 4

Predictions and health care of GDP in 2010?

Answer 4

25% by 2025,
37% by 2050
40% by 2082

Question 5

Why is the rise of insurance premiums?

Answer 5

Comprehensive policies and lead them selves from moral hazard

Question 6

Who is the burden for providing public funding insurance?

Answer 6

For the poor and the indigent

Question 7

what are some reasons for containment?

Answer 7

Raising cost consumes more of the national economic output, premiums rose by 119%, makes it difficult for employees to offer insurance, takes a toll on average and low income families

Question 8

Third-party payments?

Answer 8

Provokes more provider induced demand for service

Question 9

In perfect market?

Answer 9

Not being checked for waist and overuse

Question 10

Growth technology?

Answer 10

Too much investment on R&B results in higher cost of technology and its operations

Question 11

Increase in the elderly?

Answer 11

The age aging broom (47 to 81yr) more people with more chronic conditions, artificially keeping people alive

Question 12

Medical model of healthcare delivery?

Answer 12

Medical intervention vs preventative care

Question 13

Multiplayer system?

Answer 13

Administrative cost

Question 14

Defensive medicine?

Answer 14

Fear of legal liabilities lead to unnecessary procedures

Question 15

Fraud and abuse?

Answer 15

Fraud, upcoding, lies about true cost

Question 16

Practice variations?

Answer 16

No uniform system for diagnosis and treatment

Question 17

Why are attempts for containment for excavating cost difficult?

Answer 17

Very difficult due to so many practice variations and regulation

Question 18

Help planning?

Answer 18

No efficient due to combine and federal and private handling

Question 19

Health planning Council?

Answer 19

Had no teeth to regulate

Question 20

Certified of need status?

Answer 20

Based on community needs

Question 21

Peer review?

Answer 21

To determine good and bad practices and urged changes

Question 22

Competitive approaches? A-D

Answer 22

A. Demand – side: call sharing with co-pays and deductibles
B. Supply – side: antitrust laws prohibiting illegal practices
C. Payer-driven price competition: difficult because most users don’t understand the healthcare market
D. Utilization Controls: managed care has greater control of use and misuse

Question 23

The ACA and cost containment?

Answer 23

Has Medicare payment cuts to providers/competition among exchanges could result in some reduction in cost

Question 24

Access to care?

Answer 24

Healthcare services were needed

Question 25

Barriers that still exist in USA?

Answer 25

Race, income, and occupation

Question 26

Quality of care is difficult?

Answer 26

To define measure quality

Question 27

The dimensions of quality are?

Answer 27

A) The micro view – the clinical and interpersonal aspects of care delivery, and quality-of-life.
B) The macro view – quality assessments and assurance