Lec 4-5 Organization and Determinants of Health Care Delivery Flashcards
4 major factors for health care inflation
-population
-general inflation
-excess health care inflation
-increased utilization/intensity of health care services
what does CPI stand for?
consumer price index
what is the Milliman index?
cost of premiums for a family of 4
true or false: the US has highest health spending as % of GDP vs other industrialized countries
true
what is the “physician as agent” problem?
MD is the one who decides who gets to decide how much care is provided in our system
mega HC corps is a massive version of what?
physician as agent
market power is sought after by what two groups?
mega HC corps, mega corps
true or false: federal spending on direct defense exceeds federal spending on Medicare and Medicaid
false
(Federal spending on Medicare and Medicaid alone exceeds direct defense spending)
what is the most popular strategy to make patients more cost sensitive to the costs of HC?
via increases in cost sharing through increased premiums, co-pays, deductibles and co-insurance
what is important about getting your health insurance through an employer?
the insurance benefit is not being taxed as income
true or false: many employers pay more for health benefits than for raw materials
true
success as ___ ___ is based on advocacy for/maintaining relationship with patients
solo practitioner
success as a(n) _____ depends on ability to save resources for the organization and manage patient costs effectively, minimize resource consumption, and what resources are used must be used efficiently
employee
“direct to consumer” advertising wasn’t legal until what year?
1985
(exploded in 1997 when FDA eased the rule for detailed list of side-effects)
what is evidence based medicine (EBM)?
EBM uses the scientific method to organize and apply data to HC decisions
