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The Bismarck Model in Germany controls costs by allowing private insurers to negotiate competitive rates with private physicians.
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- discuss some of the benefits and risks of new Health promoters basing their professional identities on established norms within this profession.There have been shifts in policy regarding the regulation of managed care organizations intended to protect the consumer from rationed care. Are current regulations working or are they adding to already too much regulation and associated cost of providing healthcare in the U.S.?Prospective payment systems encourage providers to offer more health care services. True False
- The health care system in the U.S. offers greater physician and insurer choice than the Bismarck system in Germany system True FalseUse supply and demand concepts to explain why the American Medical Association finds it beneficial to require more strict standards for entrance to medical schoolsTrue or False. There is no such thing as “too much competition” in the private hospital market. Be sure to justify your answer.
- On Asymmetric Information and Agency What is a reputation good? What are examples of reputation goods outside the health care sector? Show what Pauly and Satterthwaite predict will happen to the demand curve for health services as a result of an increase in the number of providers.Below is the abstract of a recentNational Bureau of Economic Research working paper entitled “Can governments do it better? Merger mania and hospital outcomes in the English NHS” by Martin Gaynor, Mauro Laudicella, and Carol Propper (2011). The literature on mergers between private hospitals suggests that such mergers often produce little benefit. Despite this, the UK government has pursued an active policy of hospital mergers. These mergers are initiated by a regulator, acting on behalf of the public, and justified on the grounds that merger will improve outcomes. We examine whether this promise is met. We exploit the fact that between 1997 and 2006 in England around half the short term general hospitals were involved in a merger, but that politics means that selection for a merger may be random with respect to future performance. We examine the impact of mergers on a large set of outcomes including financial performance, productivity, waiting times and clinical quality and find…Which concept of market efficiency is violated when health consumption is subsidized for the patient? Overall efficiency Fairness efficiency Normative efficiency Pareto optimality
- Briefly analyze & discuss the advantages and disadvantages of adopting a single-payer system for a National Health Insurance policy. (Please create a table to compare)The AMA has been actively involved in shaping the regulation of nursing and other health care practioners. What are the arguments for and against the AMA determining the scope of legitimate activities for other health care practitioners?Which method(s) of payment to physicians will most likely result in higher total charges due to volume of services provided? Capitation. Salary. Fee-for-service (FFS). RBRVs. Methods based on patient outcomes.