Mha 707 Exam C Questions & Answers 2023/2024

US Health Care as a Good {Ans: -a Public good = Medicare, Medicaid, CHIP, EMTALA and subsidies for private insurance premiums -a Private good = Employer-based health insurance}HMO (Health Maintenance Organization) {Ans: A managed care organization that provides comprehensive medical services for a predetermined annual fee per enrollee.}Quality {Ans: how good or bad something is same outcome}Maternal Mortality Rate {Ans: Number of deaths per thousand of women giving birth. within 42 days of end of pregnancy}YHL (years of healthy life) {Ans: combines perceived health and disability activity limitation measures from the National Health Interview Survey}DALYs (disability-adjusted life years) {Ans: combines mortality and disability measures}Health care quality is assessed in terms of (Donabedian) {Ans: structure, process, outcome}Moral Hazard {Ans: When the act of insuring an event increases the likelihood that the event will happen behaving different when you know someone is taking the risk (induced demand)}Examples of Health Data {Ans: Provider Records Health Ins Form Survey Admin Records: billing forms, enrollment file, pt reg Medical Records}Larger Employers are typically {Ans: Self insured Employer pays for the actual health care cost of employees Re-insurance picks up large overruns (Lloyds of London)}Largest MCO