Prelim_1_2021

.docx

School

Cornell University *

*We aren’t endorsed by this school

Course

2350

Subject

Medicine

Date

Apr 3, 2024

Type

docx

Pages

Uploaded by beachbumm

Name: _______________________________ PAM 2350 Prelim Exam #1 September 28, 2021 There are 100 points on the exam. The point value for each question is in [brackets]. You have 1.5 hours to complete the exam. I. True/False: CIRCLE the correct answer [3 points each, for a total of 12] 1) True False By eliminating the individual mandate (i.e., the fine for people who don’t buy health insurance), Congress made adverse selection less problematic. 2) True False According to Vivian Lee (The Long Fix ), a root cause of the U.S. health care crisis is the fee-for-service reimbursement system. 3) True False Feldstein argues in his textbook that the main reason why people in the U.S. have insurance coverage for predictable, inexpensive events such as physician office visits and dental visits is because health insurance is exempt from taxes. 4) True False The Affordable Care Act (ACA) provided health insurance to more low income people than high-income people. II. Multiple Choice: CIRCLE the correct answer or FILL IN the blank [3 points each, for a total of 6] 5) Rank the following 3 types of health plans in terms of their expected premium/price from lowest to highest: Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), Point of Service (POS): Least expensive premium ______________________ Medium premium ______________________ Mo st expensive premium ______________________ 6) Which of the following is true? a. In 1950, out-of-pocket (i.e., by a person at the point of care, not by an insurer) spending accounted for about 5% of total U.S. medical spending. b. Between 1950 and today, public insurers (Medicare and Medicaid) have accounted for a greater percentage of total U.S. medical spending. c. Between 1950 and today, out-of-pocket spending has accounted for a greater percentage of total U.S. medical spending. d. All of the above

III. Short Answer [12 points each except for Questions #9 and #10, which are worth 11 points each] Feel free to use bullet points and/or incomplete sentences in this section. Please write your responses on the exam itself and continue in a white book if necessary (indicate the answer number in the white book if you continue your response there). 7) What would the Dartmouth Atlas researchers predict would happen to a) Medicare spending and b) the health of Medicare enrollees if physicians in regions that currently have high Medicare spending (e.g., McAllen, Texas) were required to be paid a salary rather than being paid fee-for- service? Why? [Address both “a” and “b” and the “why” for both].

8) As discussed in class, consider a simplified world (before the Affordable Care Act, ACA, was passed) that has 1 million healthy 40-year-old women and 1 million diabetic 60-year-old men. If health insurers were required to charge a single, community-rated premium, describe events that could lead to: a) the only people with insurance being the 1 million older men; b) the only people with insurance being the 1 million younger women. [Answer both “a” and “b”]. 9) Between 1850 and 1950 in England and Wales, the life expectancy of a baby increased by much more than the life expectancy of person who had already reached the age of 65. Why?

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help