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Suppose you go to a doctor but your health insurance plan does not reimburse you because you have not yet paid enough out of pocket for the year to qualify for insurance benefits.This is an example of


A) coinsurance.
B) a deductible.
C) monopsony power.
D) a deferred benefit plan.

E) A) and B)
F) A) and C)

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Preferred provider organizations (PPOs) are a type of managed-care organization.

A) True
B) False

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Singapore's health care system includes the following major elements, except


A) government mandates designed to promote competition on price and quality among health care providers.
B) high out-of-pocket costs to consumers.
C) laws requiring people to save for future health expenditures.
D) a national health insurance plan for its citizens provided by the government.

E) A) and C)
F) B) and C)

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Which of the following terms best characterizes the demand for health care?


A) price elastic
B) price inelastic
C) income inelastic
D) negative cross elasticity

E) B) and C)
F) None of the above

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Why is there an asymmetric information problem in the market for health care?


A) The patient, not the physician, knows most about the amount and type of health care to be provided.
B) The government, not the physician, knows most about the amount and type of health care to be provided.
C) Insurance companies, not the physician, know most about the type of health care to be provided.
D) The physician, not the patient, knows most about the amount and type of health care to be provided.

E) B) and C)
F) None of the above

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The main focus of the Patient Protection and Affordable Care Act (PPACA) is the provision of health insurance coverage to all Americans.

A) True
B) False

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Medicare and Medicaid set their payment rates for medical services above marginal cost, but below average total cost.One major consequence of doing this is that hospitals and other providers are then


A) reducing the amount of health care services they provide.
B) passing the uncovered costs on to patients with private health insurance.
C) denying services to many Medicare and Medicaid patients.
D) filing for bankruptcy regularly.

E) B) and D)
F) B) and C)

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The health care industry currently absorbs about 17.5 percent of U.S.gross domestic product.

A) True
B) False

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Which of the following factors is not a reason why competitive pricing has not developed in the health care industry?


A) The government bans competitive pricing in health care.
B) Consumers rarely shop around for health care providers.
C) Insurance covers most consumers' cost of health care.
D) Consumers are often wary of low prices in health care.

E) C) and D)
F) A) and B)

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The Patient Protection and Affordable Care Act (PPACA) includes the establishment of "insurance exchanges" in each state, the purpose of which is to


A) create a monopoly or oligopoly of insurance companies in each state.
B) fix insurance premiums, similar to public utilities.
C) foster competition among insurance companies.
D) nationalize the insurance industry in each state.

E) B) and D)
F) B) and C)

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Health insurance induces consumers to adopt less prevention and overconsumption of health care.

A) True
B) False

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A major implication of asymmetric information is that


A) health care suppliers may reduce the supply of health care.
B) health care suppliers may increase the demand for health care.
C) collusion between health care suppliers and purchasers may accelerate the rise in costs.
D) resources may be underallocated to the health care industry.

E) All of the above
F) None of the above

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The price of medical care in the United States has


A) remained relatively unchanged in recent years.
B) risen slower than the overall price level.
C) risen at the same pace as the overall price level.
D) risen faster than the overall price level.

E) B) and C)
F) C) and D)

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The prominence of employer-provided health insurance in the U.S.has had the following major consequences, except


A) overuse of health care services.
B) rapidly rising prices of health care.
C) reform efforts have mostly focused on regulation of health insurance.
D) heightened awareness of employees about the true costs of their health care.

E) A) and C)
F) None of the above

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The Patient Protection and Affordable Care Act (PPACA) bans the previous practice of insurance companies to deny coverage based on preexisting conditions.

A) True
B) False

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In recent decades, health care expenditures in the U.S.have been rising in absolute terms, but falling as a percentage of GDP.

A) True
B) False

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In recent decades, the cost of health care has


A) risen fast due to both rising prices and increasing quantities of services consumed.
B) risen solely because of rising prices of health care goods and services.
C) remained somewhat stable due to rising prices but falling quantities of services consumed.
D) risen solely because of rising quantities of medical goods and services consumed.

E) A) and B)
F) C) and D)

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About what percentage of total health care spending went to doctors and hospitals (excluding nursing homes) in 2014?


A) 67 percent
B) 52 percent
C) 33 percent
D) 21 percent

E) A) and D)
F) A) and C)

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Medicare is the nationwide federal health care program available to Social Security beneficiaries and the disabled.

A) True
B) False

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The increased practice of "defensive medicine" is a consequence of


A) professional board licensing requirements.
B) the threat of medical lawsuits.
C) incentives given by drug companies.
D) an Act passed by Congress.

E) A) and B)
F) All of the above

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