4. What are deductibles? Why are they so important in US health insurance models? How do changes in deductibles impact utilization and clinical decision-making.
Ans) 4) Measuring consumer responsiveness to medical care prices is a central issue in health economics and a key ingredient in the optimal design and regulation of health insurance markets.
- We leverage a natural experiment at a large self-insured firm that required all of its employees to switch from an insurance plan that provided free health care to a nonlinear, high-deductible plan.
- The switch caused a spending reduction between 11.8% and 13.8% of total firm-wide health spending. We decompose this spending reduction into the components of (i) consumer price shopping, (ii) quantity reductions, and (iii) quantity substitutions and find that spending reductions are entirely due to outright reductions in quantity.
- We find no evidence of consumers learning to price shop after two years in high-deductible coverage. Consumers reduce quantities across the spectrum of health care services, including potentially valuable care (e.g., preventive services) and potentially wasteful care (e.g., imaging services). To better understand these changes, we study how consumers respond to the complex structure of the high-deductible contract. Consumers respond heavily to spot prices at the time of care, reducing their spending by 42% when under the deductible, conditional on their true expected end-of-year price and their prior year end-of-year marginal price. There is no evidence of learning to respond to the true shadow price in the second year post-switch.
4. What are deductibles? Why are they so important in US health insurance models? How do...
Focus now on determinants of health. What are these? Why are they so important? How do they impact health? Review the data we have examined and think about changes we can make in the community that can have an impact on health. The vast majority of determinants of health exist outside the realm of medical care or public health. Identify an initiative designed to positively impact determinants of health. How was it mounted? By whom? Has it been successful? Why...
equen 36% of working mothers do not have enough money to cover their health insurance deductibles. You randomly select six working mothers and ask them whether they have enough money to cover their health insurance deductibles. The random variable represents the number of working mothers who do not have enough money to their health insurance deductibles. Complete parts (a) through (c) below (a) Construct a binomial distribution using n 6 and p 0.36 P(x 0 2 For H 4 5...
36% of working mothers do not have enough money to cover their health insurance deductibles. You randomly select six working mothers and ask them whether they have enough money to cover their health insurance deductibles. The random variable represents the number of working mothers who do not have enough money to cover their health insurance deductibles. Complete parts (a) through (c) below. (a) Construct a binomial distribution using n=6 and p=0.36. х P(x) 0 1 2 3 4 5 6...
38% of working mothers do not have enough money to cover their health insurance deductibles. You randomly select six working mothers and ask them whether they have enough money to cover their health insurance deductibles. The random variable represents the number of working mothers who do not have enough money to cover their health insurance deductibles. Complete parts (a) through (c) below. (a) Construct a binomial distribution using n equals 6n=6 and p equals 0.38p=0.38. x. p(x) 1. ? 2....
Why are the environmental determinants of health important to each of us? How does the individual impact the health of others living in the US and across the world?
Do you have health insurance? If so, how did you find out about the plan you have? What is your deductible? Do you like the plan and what it covers, or are you seeking a change? How does it protect you financially? Discuss, with examples. If you do not have health insurance, do some research online and identify some plans that you might consider in the future. What about these plans do you like? What are the associated deductibles? How...
Do you have health insurance? If so, how did you find out about the plan you have? What is your deductible? Do you like the plan and what it covers, or are you seeking a change? How does it protect you financially? Discuss, with examples. If you do not have health insurance, do some research online and identify some plans that you might consider in the future. What about these plans do you like? What are the associated deductibles? How...
Considering entrepreneurial, mandated insurance, and national health service models: a. Which model do you think results in the greatest equity of access to health services? Why? b. Which model is most likely to deliver the highest-quality care? c. Which is the best model? Would this model work in the United States or your own country of origin (if not the US)? Why or why not?
Medical Insurance class: Why is important to receive a monthly enrollment list from a health plan? What are write-offs and how do they affect the practice accounting system? How are group health plans an TPAs governed by HIPAA?
What purpose does an ethical climate serve, and why is it important to an organization? How do biases impact our moral decision making? Provide an example of an ethical issue. Why is this issue unethical? What behaviors are occurring that are unethical? How could the ethical issue have been avoided? In other words, what are some of the leadership actions that should have been implemented to establish an ethical climate?