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economics for healthcare managers
Questions and Answers of
Economics For Healthcare Managers
A new computer lets a phlebotomist complete a blood draw in 10 minutes. The supplies for each draw cost $4, and the phlebotomist earns $20 per hour. The phlebotomy lab is designed to accommodate
Use the data in exercise 5.8. How would the average and marginal costs change if the rent rose to $100,000? What principle does your calculation illustrate?Exercise 5.8A phlebotomist takes 15 minutes
A patient visits a clinic. She incurs $10 in travel costs and has a copayment of $20. The clinic’s total charge is $60. The clinic spends $9 to bill the insurance company for the visit and uses
A PCMH emphasizes a team approach to care, typically including physicians, advanced practice nurses, physician assistants, nurses, pharmacists, nutritionists, social workers, educators, and care
An insurance market consists of high-risk patients, who average $40,000 in spending per year, and low-risk patients, who average $1,000 per year. Overall, low-risk patients represent 90 percent of
It is easy to understand why JetBlue Airlines helped to establish the Employers Centers of Excellence Network. JetBlue and its partners shifted from paying highly variable prices for care of variable
This question actually has two parts, because cost has several meanings. Moving to Medicare for all would reduce administrative costs for insurers and providers. Overall, private insurers’
If Kim and Pat from exercise 5.14 merge their operations, they would need only one receptionist, and their rent for the joint office would be $2,800 per month. All other values stay the same.
Refer to exercise 6.1. If an insurer sold 100,000 policies at $6,000, what would revenue be? What would medical costs be if the insurer paid for everything and low-risk patients were 90 percent of
Where are reference prices being used? What have their effects been?
Why would a system launch a medical home that is intended to reduce its revenues?
Go to the Centers for Medicare & Medicaid Services Innovation Center website (https:// innovation.cms.gov) and see what ideas are being tested in a state of your choice.
What recent evidence about the performance of ACOs can you find? Are they growing? Are they saving money? Do enrollees seem to like the care they get? Is the quality of care good?
What recent evidence about medical homes can you find? Are they growing? Are they saving money? Do enrollees seem to like the care they get? Is the quality of care good?
What recent evidence about bundled payment programs can you find? Are they growing? Are they saving money? Do enrollees seem to like the care they get? Is the quality of care good?
What risk does a health system bear when it agrees to a bundled payment?
How much did cost per Medicare beneficiary go up last year? The Kaiser Family Foundation publishes these data (www.kff.org/ state-category/medicare/).
What recent evidence about Medicare Advantage HMOs can you find? Are they growing? Are they saving money? Do enrollees seem to like the care they get? Is the quality of care good?
How are a narrow network and an ACO different?
What risk does a health system bear when it agrees to accept capitation?
Why would a health system want to participate in a trial of bundled payments?
Is the idea of demand useful in healthcare, given the important role of agents?
Mentioning a nationwide shortage of primary care providers, millions of patients newly insured through the Affordable Care Act, and an aging population, Andrew Sussman, MD, president of CVS’s
Why might a consumer be “rationally ignorant” about the proper therapy for gallstones?
Why do demand curves slope down (i.e., sales volume usually rises at lower prices)?
Why would consumers ever choose insurance plans with large deductibles?
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