HMP 401 Study Guide - Midterm Guide: Copayment, Group Insurance, Health Maintenance Organization
12 Jan 2020
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We have health insurance to protect ourselves against any freak accidents. Its function is to cover any expenses we cannot cover ourselves: risk is less predictable for individuals but can be predicted for groups. If there is an increased demand for covered services, there will be more physicians: financing and cost control, how does financing impact expenditures, financing impacts expenditure by insuring the once uninsured with supply side rationing. Cost of health insurance has an effect as well. If expenditures are constraint, it cuts reimbursements less goes to physicians. It will shrink health care supply if less money is coming in. In-network: types of insurances, employment-based or group insurance: uses number in group so when purchasing health insurance risk is spread out resultn gin a lower cost, self-insurance: employee acts as own insurer budgeting amount to pay medical claims. Affordable care act impact on insurance: employer mandate:
