Instructor Manual: Henderson, Health Economics and Policy, 8e, 2023, 9780357132951,

Instructor Manual: Henderson, Health Economics and Policy, 8e, © 2023, 9780357132951, Chapter 1: U.S. Medical Care: An Uncertain Future

1 © 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.Instructor Manual Henderson, Health Economics and Policy, 8e, 202, Chapter 1: U.S. Medical Care: An Uncertain Future Table of Contents Instructor Manual ................................................................................................................................. 1 Table of Contents ...................................................................................................................................... 1 Purpose and Perspective of the Chapter ................................................................................................... 2 Supplements ............................................................................................................................... 2 Chapter Objectives .................................................................................................................................... 2 Complete List of Chapter Activities and Assessments ............................................................... 2 Key Terms .................................................................................................................................................. 3 What's New in This Chapter ...................................................................................................................... 6 Chapter 1: U.S. Medical Care: An Uncertain Future .................................................................................. 6 Chapter Outline ......................................................................................................................................... 6 Teaching Suggestions ................................................................................................................................ 8 Additional Questions for Discussion and Evaluation ................................................................................. 9 Multiple Choice ....................................................................................................................... 9 Structured Discussion: ......................................................................................................... 11

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Instructor Manual: Henderson, Health Economics and Policy, 8e, © 2023, 9780357132951, Chapter 1: U.S. Medical Care: An Uncertain Future

2 © 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.Purpose and Perspective of the Chapter This chapter introduces the student to the economic way of thinking as it relates to the study of the U.S. medical care system. It gives an overview of the Patient Protection and Affordable Care Act (ACA) and discusses why—more than 10 years after it was passed—it has solved some critical issues but has still left many unanswered questions. The chapter then offers a brief summary of the emergence of the modern medical care system, recent changes of medical care delivery and payment structures, and the basics of system design and economic modeling. It ends with a discussion of the current framework for implementing ACA; the bill’s history, both before and after passage; and how America is succeeding on some of the major accomplishments of ACA while dealing with some unintended consequences. The chapter also lays the foundation for the focus and continuity throughout the book and introduces and defines 10 guiding principles.

Chapter Objectives

The following objectives are addressed in this chapter:

• Understand the nature of the health care crisis in America.
• Identify the important historical developments affecting health care delivery

and finance in the U.S. system.

• Identify and explain the major reasons for the high and rising cost of medical

care.

• Understand how the third-party payment mechanism and managed care

affect health care delivery.

• Understand the Patient Protection and Affordable Care Act and its

importance to the U.S. health care system.

• Understand the impact of the current health care reforms.
• Recognize the relevance of economics in studying health care issues.
• Understand the aspects of medical care that contribute to its uniqueness as

a commodity.Complete List of Chapter Activities and Assessments Chapter Objective Activity/Assessment Source (i.e., PPT slide) Duration 1-1 Describe the history of health system reform in the Additional Discussion Questions #3, 4, and 6 Instructor’s Manual 5–10 mins

Activity: Knowledge Check

• Activity

PPT slide 9 5–10 mins 2 / 3

Instructor Manual: Henderson, Health Economics and Policy, 8e, © 2023, 9780357132951, Chapter 1: U.S. Medical Care: An Uncertain Future

3 © 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.Chapter Objective Activity/Assessment Source (i.e., PPT slide) Duration

United States. Activity: Knowledge Check

• Answer

PPT slide 10 5 mins

Activity: Self-Assessment PPT slide 25 10–15 mins

1-2 Explain the current health care framework.Additional Discussion Questions #1 and 2 Instructor’s Manual 5–10 mins

Activity: Knowledge Check

• Activity

PPT Slide 11 5–10 mins

Activity: Knowledge Check

• Answer

PPT slide 12 5 mins Knowledge Check 3 Activity PPT slide 16 5–10 mins Knowledge Check 3 Answer PPT slide 17 5 mins

Activity: Self-Assessment PPT slide 25 10–15 mins

1-3 Evaluate the progress made toward system transformation.Additional Discussion Questions #5, 7, 8, and 9 Instructor’s Manual 5–10 mins Activity: Game: Role Play Activity PPT Slide 22 5–20 mins

Activity: Polling Activity PPT Slide 24 5–10 mins

Activity: Self-Assessment PPT slide 25 10–15 mins

1-4 Summarize changes made since the passage of the Affordable Care Act (ACA).Additional Discussion Question #10 Instructor’s Manual 5–10 mins

Activity: Self-Assessment PPT slide 25 10–15 mins

Key Terms Public option: A public health insurance plan comparable to Medicaid, designed to compete with private insurance.Uncertainty: A state in which multiple outcomes are possible but the likelihood of any one outcome is not known.

Premium: A periodic payment required to purchase an insurance policy.

Group insurance: A plan whereby an entire group receives insurance under a single policy.The insurance is actually issued to the plan holder, usually an employer or association.Medicare: Health insurance for the elderly provided under an amendment to the Social Security Act.

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