Medicaid And Privately Insured Patients Case Study Assignment
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Medicaid And Privately Insured Patients Case Study Assignment
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- Isolate income and substitution effects from a decrease in the wage rate. (Note: In isolating the income and substitution effect, the practice is to draw a line parallel to the new price line and tangent to the indifference curve where the person was before the price change.) c. Now assume that Medicare is the only player. Medicare decreases the unit price of a service from $34 to $24. Show how the goods-leisure analysis is useful for addressing this question. (You will need to translate price per unit of service into work hours. Just assume and state what it is.) 5.4 Analyze the effects of the following changes on the physician’s decision to participate in the Medicaid program and on the number of visits provided to Medicaid and privately insured patients. a.
A cut in the fee Medicaid pays physicians for a visit (and Medicaid requires physicians who accept this payment to accept it as payment in full). How would the cut affect the number of visits provided to Medicaid patients? Use a graph. Show the point at which the doctor will not provide care to Medicaid patients at all. b. A $10 increase in the amount a private insurer pays per visit. Show the effect of the price change on the provision of care to Medicaid and private patients. c. A 15 percent increase in the wage rates of nonphysician personnel employed in the practice. (You need to assume a fraction of practice expense that goes to the wages of nonphysician personnel.) How will this wage change affect physician participation in Medicaid? Show graphically. 5.5 In 1988, there was a Medicare fee reduction in the United States.
Medicare cut the payment for open heart surgery by 2–15 percent. Answer the following questions: a. For thoracic surgeons, who perform open heart surgery, what is the income effect of this fee cut? b. What is the substitution effect induced by this fee cut, again for thoracic surgeons? c. What happens when the income effect dominates the substitution effect? Does an insurer realize savings from a fee cut when the income effect dominates the substitution effect? Explain your answer. Suppose you were director of your country’s national health insurance program. What public policies would you implement if you knew that the income effect dominates the substitution effect?
RUBRIC
Excellent Quality
95-100%
Introduction
45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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