Opioid Crisis
company responsible for opioid crisis
Purdue Pharmaceuticals- heavily pushed prescriptions + mislead on addictive properties
Which plan is a federal-state partnership?
Medicaid is with states being required to cover all basic but getting reimbursed
during which phase are microdoses given to see if expected body part reacts?
Phase 0 also doing tests in vitro or in vivo
what is the drug tradeoff
regulating lower prices may lead to less innovation and fewer break throughs
goals of medical malpractice
provide $ to injured and incentivize proper care
mostly through in network connections between people
What does part B cover in Medicare
"medically necessary procedures" not addressed in A monthly premium on sliding scale
What are the two stages to Phase 2
a) effectiveness
b) dosing
What is risk externality?
Can be a positive or negative externality but increases likelihood/chance of something happening ex: Drunk driving increases -chance- of a car accident
what is the learned hand rule?
a test for negligence looking at value of damage and cost of taking action
Naloxone/Narcan can be used in the event of an OD what are these tools and programs like clean needle programs aim to do
Harm Reduction
What does COBRA ensure
those who lost job can still be under health plan for up to 3 years (they pay for it)
what are Orphan Drugs
qualifying rare disease drugs automatically given 7 years of exclusivity post approval
what is Coase Theorem or Property Rights?
bargaining to remove any externality only works in case transaction costs aren't too high, liquidation isn't a problem, and there isn't economic disadvantages
rural mortality penalty
opioid reform made pills not crushable what was the unintended consequence
inc in heroin use
What does it mean that inpatient is covered on a capitation basis by DRG
flat payment for all care based on disease related group
what is a NDA
New Drug Approval occurs after phase 3 where the drug can get approved by FDA to go to market (still has post market observation)
What is a gap plan?
a gap plan covers places Medicare has cost sharing such as Parts A & B
Why is stereotype threat harmful to female surgeons?
stereotype threat is pressure to not confirm a stereotype such as females make worse surgeons can be a debilitating burden to carry
what are Triplicate Laws
forced providers to keep track of all opioid prescriptions in records
How is outpatient paid out
fee-for-service based on resource-based relative value sys't
What is the goal of Phase 3
simulating clinical conditions in a larger randomized trail
What is adverse selection
only people who want a certain thing are those highly at risk of being affected by it making it not worth it for insurance company (ie; earthquake insurance)
what is concept of Intergenerational Mobility
amount someone can improve their wealth compared to parents