HEALTHCARE FINANCING (HSMU 212) 2ND TRIMESTER
2014
KENYA METHODIST UNIVERSITY
END OF 2'ND 'TRIMESTER 2014 (PT) EXAMINATION
SCHOOL
DEPARTMENT
UNIT CODE
UNIT TITLE
TIME
INSTRUCTIONS
: MEDICINE & HEALTH SCIENCES
: HEALTH SYSTEMS AND MANAGEMENT
: HSMU 212
: HEALTHCARE FINANCING
: 2 HOURS
: Answer ALL Questions in Section A and any Other TWO from Section B
SECTION A
Question One
Identify and discuss the various aspects of financial management in the health sector.
(10marks)
Question Two
Describe FIVE steps of implementing a waiver system.
(10marks)
Question Three
Briefly explain FOUR factors that facilitate transition to social health insurance in a country.
(10marks)
Question Four
Explain what is entailed in each of the following human rights principles of financing health care.
SECTION B
Universal and unified
Equitable
Free at point of access
Rewarding quality
Focused on care.
(10marks)
Question Five
Structural adjustment policies have been prescribed by the Bretonwoods institutions for
developing countries for some time now. Discuss the positive and negative impacts of these
policies on the financing of healthcare in Kenya.
(30marks)
Question Six
Social health insurance exist alongside private health insurance in some countries. Discuss
the advantages and disadvantages of each of these schemes as sources of financial resources for the health
sector.
(30marks)
Question Seven
Provider payment methods facilitate transfer of funds from the purchase to the provider of health services.
Describe SIX payment methods.
(30marks)
Health Care Financing (HSMU 212) 3rd trimester 2014
KENYA METHODIST UNIVERSITY
END OF 3'RD 'TRIMESTER 2014 (PT) EXAMINATION
SCHOOL
DEPARTMENT
UNIT CODE
UNIT TITLE
TIME
: MEDICINE & HEALTH SCIENCES
: HEALTH SYSTEMS MANAGEMENT
: HSMU 212
: HEALTH CARE FINANCING
: 3 HOURS
SECTION A:
Answer all the questions in Section A.
Question One
Briefly explain the difference between an exemption and a waiver in health care financing giving examples in
(10 marks)
each case.
Question Two
Identify the unit of payment and list the financial risk for health care providers and payers under these provider (10
payment methods:
marks)
Perdiem
Line-item
Per capita.
Fee for service
Question Three
Briefly discuss the advantages of user fees as a method of financing health care.
(10 marks)
Question Four
Health care organizations mobilize resources to support their work from different sources. Identify four
sources of funding for an organization.
(10
marks)
SECTION B:
Answer any TWO questions.
Question Five
Describe the five main characteristics of community based financing schemes.
Identify four community based financing schemes and discuss the main characteristics of each.
(10 marks)
(20 marks)
Question Six
Human rights principles for financing health care are intended to guide the design of a suitable
and cost effective system that secures comprehensive care.
Identify the challenges faced by Health Care Financing.
Discuss any five human rights principles that focus on addressing the challenges above.
(10 marks)
(20 marks)
Question Seven
Social Health Insurance exists alongside private health insurance in some countries. Discuss
the advantages and disadvantages of each of these schemes as sources of financial resources for the health
sector.
(30
marks)