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need help ASAP - will give thumbs up thank you! Use the following table of risk adjustment coefficients. And remember that the risk adjustment coefficients
need help ASAP -
Use the following table of risk adjustment coefficients. And remember that the risk adjustment coefficients reflect the relative expected costs to the insurer of each enrollee's medical claims costs. Consider 3 people: (A) An 85-year old man with no chronic conditions. (B) A 65-year-old man with cancer. (C) A 75-year-old woman with diabetes and heart disease. Demographic Factor Coefficient Male (under 80) 0.25 Male (over 80) 0.45 Female (under 80) 0.35 Female (over 80) 0.55 Diagnosis Factor Diabetes Cancer Heart Disease Parkinson's Disease Coefficient 1.00 2.00 0.65 1.50 (2 points) Suppose there is no risk adjustment and a uniform capitation payment. what kind of cancer care would an insurance plan want to offer? 1. The insurance plan will offer a plan with low deductibles and copayments for expenses related to cand The insurance plan will offer a plan with high deductibles and copayments for expenses related to cancer The insurance plan will want to offer the same cancer care coverage as it would if there were risk adjustment or uniform capitation payments Not enough information provided to answer the question (3 points) Assume that risk adjustment works perfectly in its intended purpose. In that case, which person of the three (if any) would be the most profitable to the insurer? 2. Person A Person B Person Persons A, B, and Care equally profitable Not enough information provided to determine the most profitable person will give thumbs up thank you!
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