Read Chapters 3, 5, 6

Pay special attention to the NPV, IRR, & Annuities topics.  It might be beneficial for you to do a quick review of Chapter 2 if you are a bit rusty with PV concepts.

Answer the eight (8) problems in the attached Excel file.  Each problem is worth 10 points.  Submit the file via Blackboard by clicking on the title.

 

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Challenge Questions (7 – 10 pages) This is an estimate. Be sure to answer questions fully.

Module 1 Overview and System Performance

Each question is to be answered separately. Be sure to identify the question you are answering. Answers are to be double spaced, 12 point font and 1” margins.

1. What is the real and perceived performance of the U.S. healthcare system? Please elaborate on the views expressed by Khazan. Are these views different among patients, providers, payers, employers and policymakers? Please identify all critical stakeholders and criteria they may use to evaluate health system performance.
2. Is healthcare a right?Should the government play a key role in aiding the uninsured or should market forces reign supreme?While your opinion is highly valued, you must justify your answers based on readings and outside sources.
3. Please explain 3 key indicators of health system performance. The indicators are cost, quality and access. How do they interrelate? E.g. Can you have higher quality and lower cost?
4. In the Triple Aim, Berwick and colleagues identify a path forward to a more effective health system that shifts the burden from provider organizations to the political arena. Briefly describe the “triple” aim. What are the preconditions necessary and what should the focus become to meet the triple aim. How can health policy achieve the goal of achieving the triple aim? What is added in the quadruple aim compared to the triple aim? Why is this important?
5. In Porter’s article on strategies that fix healthcare he is predicting that the health system will become value based. What does he mean by that? Briefly describe the value agenda and the 6 strategies needed to achieve a value-driven system? What is the role of health policy in achieving the aims described by Porter? (e.g. how is the ACA driving change?)

In answering these questions you should reflect on how you are achieving the following learning objectives and competencies:

#	LEARNING OBJECTIVE	MPH Foundational Knowledge	MPH Foundational Competencies
1	Identify the components of an effective healthcare system and the organization of the U.S. healthcare system including the roles of public and private health systems.	1. Explain public health history, philosophy and values.	5. Compare the organization, structure and function of health care, public health and regulatory systems across national and international settings 22. Apply systems thinking to a public health issue.
2	Evaluate the performance of the US Healthcare System and its ability to meet the Triple Aim in comparison with OECD countries	10, Explain the social, political and economic determinants of health and how they contribute to population health and health inequities	22. Apply systems thinking tools to a public health issue

 

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