Question

1. Which one of the following is not the change in medical care delivery in the U.S.

   	A.	A shift from public financing to private financing
   	B.	A shift to the 3rd party payment
   	C.	A shift from inpatient care to outpatient care
   	D.	A shift from cost-plus approach to prospective payment

Answer 1

The Answer would be A. Here is the explanation:

A. Although public financing still forms the significant chunk of health financing, in recent years private and PPP model has been introduced and many argue that that even has increased the efficiency of the medical care delivery. But a total shift to private finacing is not on. In fact, public financing is necessary for services that insurance plans avoid or are inefficient in reaching, including community-oriented services and groups at special risk, such as infants and women.

B. The US healthcare system has several third-party payment systems that affect the finances of healthcare facilities. In fact, until recent years, fee-for-service third party payer model has been the main model in the US.

C. A shift from inpaitient care to outpatient care is noticeable in recent years due to clinical innovation, patient preference and financial incentives available. In fact, as per a Deloitte report, aggregate hospital revenue from outpatient services grew from 30% in 1995 to 47% in 2016.

D. The federal Health Management Organisation (HMO) Act of 1973 made private sector to increasingly turn to managed care and rapidly rising expenditure led to the shift from cost-plus approach to prospective payment.