Health Care Financing and Economics

Description: This quiz covers the concepts related to Health Care Financing and Economics.
Number of Questions: 15
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Tags: health care financing economics health policy
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What is the primary goal of health care financing?

  1. To ensure equal access to healthcare for all individuals.

  2. To control the rising costs of healthcare.

  3. To promote competition among healthcare providers.

  4. To maximize profits for healthcare organizations.


Correct Option: A
Explanation:

The primary goal of health care financing is to ensure that all individuals have access to necessary healthcare services, regardless of their ability to pay.

Which of the following is NOT a type of health insurance plan?

  1. Health Maintenance Organization (HMO)

  2. Preferred Provider Organization (PPO)

  3. Fee-for-Service (FFS)

  4. High-Deductible Health Plan (HDHP)


Correct Option: C
Explanation:

Fee-for-Service (FFS) is a payment model in which healthcare providers are paid for each service they provide, rather than being paid a fixed amount for a period of time.

What is the term used to describe the difference between the amount charged for a healthcare service and the amount actually paid by the patient?

  1. Copayment

  2. Deductible

  3. Coinsurance

  4. Out-of-pocket maximum


Correct Option: C
Explanation:

Coinsurance is the percentage of the cost of a healthcare service that the patient is responsible for paying after meeting their deductible.

Which of the following is NOT a type of healthcare provider?

  1. Physician

  2. Nurse

  3. Pharmacist

  4. Insurance company


Correct Option: D
Explanation:

Insurance companies are not healthcare providers, but rather entities that provide financial coverage for healthcare services.

What is the term used to describe the total amount of money spent on healthcare in a country?

  1. National healthcare expenditure

  2. Gross domestic product (GDP)

  3. Per capita healthcare expenditure

  4. Healthcare inflation rate


Correct Option: A
Explanation:

National healthcare expenditure is the total amount of money spent on healthcare in a country, including both public and private spending.

Which of the following is NOT a factor that contributes to the rising cost of healthcare?

  1. Technological advancements

  2. Aging population

  3. Increased demand for healthcare services

  4. Government regulations


Correct Option: D
Explanation:

Government regulations are not a factor that contributes to the rising cost of healthcare, but rather a mechanism to control and manage healthcare costs.

What is the term used to describe the process of evaluating the effectiveness, efficiency, and appropriateness of healthcare services?

  1. Quality assurance

  2. Cost-effectiveness analysis

  3. Utilization review

  4. Evidence-based medicine


Correct Option: A
Explanation:

Quality assurance is the process of evaluating the effectiveness, efficiency, and appropriateness of healthcare services.

Which of the following is NOT a type of healthcare reform?

  1. Single-payer system

  2. Universal healthcare

  3. Managed care

  4. Tort reform


Correct Option: D
Explanation:

Tort reform is not a type of healthcare reform, but rather a set of legal changes aimed at reducing the number of medical malpractice lawsuits.

What is the term used to describe the process of negotiating prices for healthcare services between healthcare providers and insurance companies?

  1. Fee schedule

  2. Capitation

  3. Bundled payments

  4. Pay-for-performance


Correct Option: A
Explanation:

Fee schedule is the process of negotiating prices for healthcare services between healthcare providers and insurance companies.

Which of the following is NOT a type of healthcare payment model?

  1. Fee-for-service

  2. Capitation

  3. Bundled payments

  4. Salary


Correct Option: D
Explanation:

Salary is not a type of healthcare payment model, but rather a method of compensation for healthcare providers.

What is the term used to describe the process of transferring financial risk from one party to another in healthcare?

  1. Risk pooling

  2. Reinsurance

  3. Stop-loss insurance

  4. Captive insurance


Correct Option: A
Explanation:

Risk pooling is the process of transferring financial risk from one party to another in healthcare.

Which of the following is NOT a type of healthcare insurance market?

  1. Commercial market

  2. Government market

  3. Employer-sponsored market

  4. Individual market


Correct Option: B
Explanation:

Government market is not a type of healthcare insurance market, but rather a sector of the healthcare system in which healthcare services are provided by government entities.

What is the term used to describe the process of comparing the costs and benefits of different healthcare interventions?

  1. Cost-benefit analysis

  2. Cost-effectiveness analysis

  3. Return on investment (ROI)

  4. Payback period


Correct Option: A
Explanation:

Cost-benefit analysis is the process of comparing the costs and benefits of different healthcare interventions.

Which of the following is NOT a type of healthcare consumer?

  1. Individual

  2. Employer

  3. Government

  4. Insurance company


Correct Option: D
Explanation:

Insurance company is not a type of healthcare consumer, but rather an entity that provides financial coverage for healthcare services.

What is the term used to describe the process of allocating healthcare resources among competing demands?

  1. Resource allocation

  2. Priority setting

  3. Rationing

  4. Cost-effectiveness analysis


Correct Option: A
Explanation:

Resource allocation is the process of allocating healthcare resources among competing demands.

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