Why may cost differences across plans be partly due to enrollee selection? Low-risk users are less likely to require medical services All plans inherently cost the same to administer Plans can segment their market to attract low-risk users and avoid high-risk users High-risk users tend to choose plans with higher premiums for more comprehensive coverage
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- How do economic evaluations in Healthcare inform policy and other decision makersThe size of the uninsured and underinsured population in the United States has become an indication of the access problems in the US healthcare system.TrueFalse Health economics can be defined as An examination of factors that impact healthcare An explanation of theories, models and tools that can be applied to understand costs, access, and quality One way to understand how best to compare and contrast alternatives Help healthcare leaders understand the costs and consequences of options All of the aboveHow can healthcare systems address the inelastic demand for emergency care to prevent unchecked and exorbitant pricing for patients?
- The impact of changing economic realities in the healthcare setting. Consider the customer perspective, organizational perspective, and provider perspective.What effects would joining a MCO have on your clinic regarding staffing, patient volume, and financial stability?What policies and procedures should be used by the MCOs to reduce costs for their clientele?What is the effect of Certificate of Need (CON) on the economics of long-term care economic decision making and how is this different from that of a hospital?
- For Pancreas Transplant, DRG code is 010. For DRG 010, Medicare pays fixed amount of $21,313.50. Outlier threshold for Medicare is $25,800. (a) John admitted hospital A for pancreas transplant. The charges for John’s treatment was 128,000. Cost to charge ratio for Hospital A was 0.10. How much payment hospital A would get from Medicare? (b) Bryan admitted hospital B for pancreas transplant. The charges for Bryan’s treatment was same as John, $128,000, but cost to charge ratio for Hospital B was 0.25. How much payment hospital B would get from Medicare?Insurance coverage has been shown to diminish the importance of time in the decision about how much medical care to seek and which providers to use. True OR FalseWhich of the following is NOT a healthcare good or service? A)Vaccine B)Patient advocate (social worker) C)Life insurance D)Privately purchased a knee brace
- For Pancreas Transplant, DRG code is 010. For DRG 010, Medicare pays fixed amountof $21,313.50. Outlier threshold for Medicare is $25,800. (a) John admitted hospital A for pancreas transplant. The charges for John’s treatment was 128,000. Cost to charge ratio for Hospital A was 0.10. How much payment hospital A would get from Medicare?describe Diagnostic Research Designwhat does non-stationarity mean ?