$1.$ Why were the first health insurance organizations formed in America? What were the original driving factors? Describe the early growth of health insurance in the US$.$

$2.$ Explain the theory of insurance, by specifically addressing the degree of risk aversion, the size of the potential loss, and the "wealth effect".

$3.$ What is meant by the "HMO Effect" versus "Favorable Selection" in managed care? Describe the evidence of an HMO Effect, and the evidence of Favorable Selection.

$4.$ What are deductibles? Why are they so important in US health insurance models? How do changes in deductibles impact utilization and clinical decision$-$making.

$5.$ Discuss the Utilization Management function in managed care, including Preadmission Certification and Concurrent Review of services.

$6.$ Discuss the emerging role of Disease Management $($DM$)$ and Intensive Case Management in American managed care. How does DM actually work?

$7.$ A key concept of health insurance is premium sensitivity$.$ Describe the general process for premium computations in US healthcare insurance. Briefly explain employee premium sensitivity and how do employees typically respond to changes in health insurance premiums?

$8.$ Describe the commonly used approaches to "underwriting" for healthcare services.

$9.$ Do hospitals actually have "monopoly power" today? Why or why not?

$10.$ Explain risk adjustment in the Affordable Care Act. How well does this approach work in your view?