Module 5

Question 1

Sources of Geographic Variation

Answer 1

Supply (amount of beds), demand (supplier induced), access (insurance)

Question 2

HSA

Answer 2

Hospital service area: Collection of zip codes that go to certain hospitals

Question 3

HRR

Answer 3

Hospital referral region: regional markets for specialty care

Question 4

Spending variation was thought to be

Answer 4

Elderly relocation, employment factors, large cities, variety of insurance companies, hospital specialties

Question 5

Spending variation really due to

Answer 5

Localized trends/patterns when there isn’t a “best” course of treatment

Question 6

Medicare is redistributed among

Answer 6

States

Question 7

Treatment Efficacy - Category I

Answer 7

Highly effective and unlikely to be given to patients that won’t benefit

Question 8

Treatment Efficacy - Category II

Answer 8

Highly effective for some, but not others

Question 9

Treatment Efficacy - Category III

Answer 9

No or mixed evidence

Question 10

Category for most health gain

Answer 10

I and effective II

Question 11

Category for most unnecessary expenditures & wide regional variations in utilization

Answer 11

Ineffective Category II and Category III