Answered step by step
Verified Expert Solution
Question
1 Approved Answer
1. Define Health insurarice and explain why it is different from life and general insurance. 6 marks 2. Jackson wants to take on a health
1. Define Health insurarice and explain why it is different from life and general insurance. 6 marks 2. Jackson wants to take on a health insurance plan, explain the factors he would consider before choosing a plan and how these factors would influence his decision to have a plan or not given its prices. 6 marks 3. Briefly explain group and individual health insurance, public health insurance, singlepayer plan, socialized medicine and universal health insurance 6marks 4. Define deductibles and differentiate it from co-payment and coinsurance. 4 marks 5. Kwabena has a heart condition that requires frequent medical attention. He usually visit his Physician three times in a year. He joined a company as one of the managers, as part of the benefit package he gets a health insurance plan. Now he visits his Physician five times a year. Indicate whether it is a problem of moral hazard or adverse selection and explain your choice. 4 marks 6. Explain claim adjudication and conceptually differentiate between Claim adjudication and Utilization management 4 marks 7. Why would an employee refuse an employer provided plan? Hint: Explain using premium sensitivity. 6 marks
Step by Step Solution
There are 3 Steps involved in it
Step: 1
Get Instant Access to Expert-Tailored Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started