. You heard someone state, "If the purpose of insurance is to protect people against large financial losses, then requiring patients to make co-payments and pay co-insurance defeats the purpose of insurance." Clearly explain why health plans require patients to pay a portion of their medical expenses out-of-pocket.
Health plans require patients to pay a portion of their medical expenses out of pocket so that patients do not free ride on health insurance plans or they do not engage in moral hazard.
This will help people become conscious of their choices, as they know that now they will also be bearing the cost of their healthcare if they do not take care of themselves.
. You heard someone state, "If the purpose of insurance is to protect people against large...
1. What are the three major payer categories? A. Personal health B. Employee health C. Family health D. Workers compensation E. National health F. Group health 2. Which of the following pays the highest rates for healthcare services? A. Commercial health insurance B. Medicaid C. Self pay patients D. Medicare E. Guarantors of patients 3. Match the financial classes in the first column to their definitions in the second column. _Commercial insurance A. Countrywide health program for certain people and...
write like 2 paragraph of what you think of this . Let me start out be saying that I don't know why people are and have been opposed to the Affordable Health Care Act or more preferably Obamacare. Starting with Medicaid expansion, which was funded 100% by the government in 2014, 2015, and 2016, why would any state elect to optout of Medicaid expansion and leave a portion of their state's population uninsured? Pretty insensitive to the needs of ordinary...
Someone post from a discussion question... (Respond to it) Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income. Medicaid offers care to the poorest families while CHIP extends coverage to a larger number of children. Care through the Medicaid program may be more extensive, but the CHIP...
QUESTION 4: An insurance company offers a health plan to guard against the financial consequences of a person becoming permanently disabled. For the purpose of this plan the company classifies the health status of its members as being either healthy (state 1), ill (state 2), permanently disabled state 3) or dead (state 4). Only those members who are in either state 1 or state 2 pay into this health plan while only those who are in state 3 receive payments...
Assignment: Chapter 10 - Protecting Your Property 2. The basic principles of property insurance What Are the Basic Principles of Property Insurance? There are two major types of insurance that protect your real and personal property, and that of others: property insurance and liability insurance. As several of the principles on which property and liability insurance are based differ from those underlying life and health insurance, it is important that you be aware of these differences so that you can structure your coverage and...
Chapter 7 Federal Statutes and Regulations That Impact Healthcare Horsewark #5 Learning Key Terms Activity A Name Chapter 7 Date Period I. Matching Match the following key terms with their corresponding definitions 1. Americans with Alaw that was passed to help decrease the number of American Disabilities Act who do not have health insurance and help reduce the overall (ADA) cost of healthcare 2. Anti-Kickback taw that prohibits discrimination against people with disabiliti Statute in employment, transportation, public accommodation, commi...
anwers all question Chapter 3 Assignment Fill in the Blanks The practice by which a state grants a license to practice medicine to a physician already licensed in another state is known as 1. or nurse 2. means an approval or sanction. A physician cannot legally practice medicine without a 3. In addition to paying a fee to renew their license, physicians must complete 75 hours of (CME) units every 3 years to assure that they 4. remain current in...
You are the administrator of a large family practice clinic in a community with a population of 20,000 residents. You have five physicians and two nurse practitioners (NP) in the practice. You also have two nurses, three medical assistants, a medical record clerk and a billing specialist. Your clinic is the largest in the county and the nearest large city with a population 100,000 or more is two hours away. Your clinic is wholly owned by the physicians of the...
Suppose a large employer contrads with an insurer to provide health insurance coverage or workers compensation coverage for its employees. The employer (the insured) really setf-insures, and the insurer is a third party administrator. Any benefits paid by the insurer to the employees is reimbursed by the employer Theemployer may buy excess coverage, such as coveragefor annual health benefits exceoding $10 milion The insurer and the employer can negotiate the premium for the policy at very low transaction costs. Wo...
Grading Obamacare: Successes, Failures and ‘Incompletes’ We’ve updated this article with the news that Republicans abandoned a vote to repeal the Affordable Care Act. As House Speaker Paul Ryan acknowledged, Obamacare is still “the law of the land.” Did Obamacare work? It’s worth reflecting upon after President Trump and House Republicans failed on Friday to repeal and replace the “disaster” of Obamacare. Ever since the Affordable Care Act was passed in 2010, it has been so contentious that it can...