Is the greatest financial uncertainty for hospitals in the coming years
What is Politics
100
Payment per patient
What is Capitation
100
Physicians often order tests to prevent being sued, which increases the cost of medical care.
What is Defensive Medicine
100
Such hospital size have the lowest average costs
What is 200-400 bed hospital
100
Relates to the belief that providers charge a higher price to privately insured patients because some payers, such as Medicaid or the uninsured, do not pay their full costs.
What is Cost Shifting
200
Is the basic cost control mechanism used in Canada
What is Expenditure Limits on Health Providers
200
Payment per procedure/visit
What is Fee-for-Service
200
Are two of the most significant factors contributing to rising medical costs
1. Labor Costs
2. New Technology
200
A form of physician competition with community hospitals
What is Specialty Hospitals
200
The provide the appearance of controlling rising prices and expenditures but in reality the lead to cheating and a reduction in quality.
What are price controls and global budgets
300
It includes in its calculation economic costs, pain and suffering, administrative costs and profitability
What is Malpractice Premium
300
Payment per Episode of Illness
What is Diagnosis Related Group
300
The United States ranking for OVERALL cost and cost PER PERSON of health care.
What is Number One
300
Patients enrolled are permitted to go to provider within network and the providers are paid fee-for-service
What is a Health Maintenance Organization (HMO)
300
A system that achieved its main goal, which is to reduce the rise in healthcare expenditures
What is Managed Care
400
Payers have developed a mechanisms to counter supplier induced demand
What is Second Opinions
400
Assignment of RVUs to medical procedures and services
What is Resource Based Relative Value Scale (RBRVS)
400
These costs are above and beyond the cost of care of a patient and cover things like xeroxing, billing and advertisements.
What are Administrative Costs
400
Are the two major causes of increased drug expenditures
What is Increased utilization and Increased drug prices
400
Official Name for ObamaCare
What is The Patient Protection and Affordable Care Act
500
Congress enacted it to provide drug companies with a financial incentive to develop drugs that provide benefits for fewer than 200,000 patients
What is Orphan Drug Act
500
Physicians induce demand only to the extend they can maintain a given level of income
What is Target Income Theory
500
The primary organizational difference between for profit and not for profit hospital
What is Profitability
Acceptable What is Earning a Profit
500
An Act passed in 1938 by congress
What is FDA
500
Insurance companies can no longer discriminate against payers with this type of characteristic