Chap 6: Economics & Finance Flashcards

1
Q

What percentage of GDP is the cost of healthcare?

A

16-17%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the price elasticity of demand?

A

The price point that will move customers in the direction of one or another product. As little as $10 per member per month (PMPM) out-of-pocket cost controls a consumer to shift from one type of health provider to another. The easier it is to shift between providers, the more elastic the relationship

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the difference between a monopoly and a monopsony?

A

A monopoly is when the seller of services represents a dominant or unique vendor.

A monopsony is when the purchaser of services represents the unique or dominant position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In terms of accounting, what is the difference between a current ratio and a quick ratio?

A

Current ratio = current assets /current liabilities.

Quick ratio = (current assets - inventories)/ current liabilities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

For medical managers, what is the most frequently requested accounting statistic?

A

ROI: return on investment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What components are included in the balance sheet?

A

Assets, liabilities, and owners equity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is more important to practicing managers then the financial statement/balance sheet?

A

The income statement. Lists sources of revenue, expenses with final net income at the bottom.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the difference between cash-basis accounting and accrual-based accounting?

A

Cash-basis accounting is when revenue and costs can be recognized in one month/period in which they occur.

Accrual-based accounting is when revenue and expenses cannot be neatly matched to a month, and therefore are counted when they are incurred.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Is economics the study of money?

A

No, it is the study of value, including things like labor and resources.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is included on the statement of cash flow’s?

A

Sources of cash received by the organization.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is managerial accounting?

A

Focuses more on the day-to-day operations of the corporation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

An important concept in managerial accounting is true contribution income and the contribution margin. What is this?

A

The revenues generated by an individual item, such as a surgical procedure, linked to its expenses, to show the “contribution margin” or profit from each individual occurrence.

Managers can use this, and fixed overhead costs, to calculate how many of these procedures they would need to do per month to cover expenses and turn a profit.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is activity-based costing accounting?

A

A second important concept in managerial accounting, evaluating the profit and loss of individual so programs within the overall statement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is opportunity cost?

A

The cost to the organization of spending money in one area compared to another, such as refurbishing an office instead of spending the money on buying a new x-ray machine is the opportunity cost of refurbishing the office.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is cost of capital?

A

The cost of the cash utilized for a program. In some ways an opportunity cost, and in others the loss of even interest from having invested the money in a bank instead. This cost must be subtracted from the estimated profit from the investment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is discounted cash flow analysis?

A

The time value of money. It is the way of discounting the value of future earnings based on the interest rate. $108 one year from now is only $100 now, therefore you should discount the $100 earnings down to today’s dollars for purposes of calculation.

17
Q

In terms of tracking progress towards the organizations goals, what is the difference between “lag measures” and “lead indicators”?

A

Leg measures are retrospective, such as patient satisfaction survey results.

Elite indicators our live, such as patient flow and average daily collections.

18
Q

What is a pro forma financial statement?

A

Typically a business plan, which detail financial costs and expenses for several time periods in the future. Therefore you can see cost and expenses for initial start up, and compare to overall profitability and ROI later on.

19
Q

What is a sensitivity analysis for a business plan?

A

Allows you to alter variables around best and worst case scenarios, to evaluate effect on ROI etc.

20
Q

Financial benefits of a quality program can be presented in terms of hard dollar savings, soft dollar savings or imputed savings. What is the difference between these three?

A

Hard dollar savings: hard to demonstrate, very specific number, eg $1.50 saved for every $1 invested.

Soft dollar savings: a range in which the savings is likely to fall

Imputed savings: compiled from evidence already in the literature from large multicenter trials.

21
Q

Categories of quality management returns are?

A

Financial, clinical improvement,
social, intangible (Community image, human resources impact, future savings, accreditation compliance, provider relations etc.)
productivity-based, and operational.

22
Q

What are some problems with pay for performance?

A
  1. No standardized method for identifying what a “quality physician” is, particularly at the specialist level. What are appropriate levels of utilization?
  2. High levels of normal variation, with the number of patients treated too low to achieve statistical significance at the provider (and sometimes hospital) level.
  3. “Risk follows premium.” New products are paid for by the “early to doctor” private, and generally healthier patients, but as it becomes more widespread this cherry picking effect disappears, and the true risk profile emerges.
23
Q

What are type I and type II errors in statistics?

A

Type I: when you believe your hypothesis is true but it’s not

Type II: when you believe it is not true, but it is

24
Q

What is a monetarist approach to economics, and who does it?

A

Regulation of the monetary supply by the federal reserve board.