: (1) government programs, (2) individual health insurance, and (3) group (or employer) health insurance, For your main Discussion post, compare and contrast government programs, individual health insurance, and group (or employer) health insurance. What are the advantages and disadvantages of each basic sources of benefits coverage? If you could create the perfect source of benefits coverage, what pieces from each healthcare

: (1) government programs, (2) individual health insurance, and (3) group (or employer) health insurance, For your main Discussion post, compare and contrast government programs, individual health insurance, and group (or employer) health insurance. What are the advantages and disadvantages of each basic sources of benefits coverage? If you could create the perfect source of benefits coverage, what pieces from each healthcare

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter16: Medical Insurance

Section: Chapter Questions

Problem 9CR

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In the past decade there has been increasing discussion of the government's role as a health care insurer. Should the government play more of a significant role as an insurer? Currently the largest insurance type in the U.S. is employer based. Is there a real difference between members of society being at the mercy of their employer for coverage instead of at the mercy of the government?
What are the classes of medical insurance?\\nCoverage for hospital expense, nonmajor medical expense, surgical expense, and physician expense.\\nCoverage for hospital expense, surgical expense, physician expense, and major medical expense.\\nCoverage for hospital expense, comprehensive major medical expense, nonmajor medical expense, and physician expense.\\nCoverage for comprehensive major medical expense, nonmajor medical expense, surgical expense, and physician expense.
Using your own words, how would you define the term "value" in healthcare? When you thought of this definition, what factors did you take into account? The term value is almost always analyzed from an economic perspective. Please describe some conflicts embedded within the healthcare delivery system that drive up costs and reduce value. Please identify some reasons why attempts at cost control have not succeeded
What are the advantages and disadvantages of having health care coverage? Does it protect from financial risk? From the billing aspect, are there laws that assist in the insurance collections process? If so, what are they? Considering the different government plans and private health plans, what do you think is the best type of health insurance to have? What is the difference between copay, coinsurance, and deductibles?
The federal Medicare program will only reimburse (pay) for services performed by health professionals who are licensed to practice and certified to participate in the Medicare program. Let's say someone files a lawsuit arguing that this federal law allowing only licensed and certified health professionals to be paid through the Medicare program discriminates against people who don't have medical training, and therefore violates the Equal Protection Clause of the 5th Amendment? Which of the following best explains how a court would rule in such a case?
1. Using your own words, how would you define the term "value" in healthcare? When you thought of this definition, what factors did you take into account? 2. The term value is almost always analyzed from an economic perspective. Please describe some conflicts embedded within the healthcare delivery system that drive up costs and reduce value. 3. Please identify some reasons why attempts at cost control have not succeeded. *The question in bold needs to be answered. If there is any outside resources used, please provide a link.
What are the advantages and disadvantages of long-term care insurance.
Healthcare organizations can be not-for-profit, for-profit, and government entities. Discuss the types of for-profit healthcare entities and the differences between them.
Market segmentation is grouping consumers with similar wants or needs and customizing your services and products to them. Market segmentation applies to the healthcare industry as well. In your initial post, discuss the following questions: 1. Why is market segmentation important in healthcare? 2. What is the value of segmenting the market in healthcare? 3. How would you segment the market for the healthcare industry?
There are substantial differences in medical care use by demographic characteristics such as age, sex, and marital status. Which of the following statements is true? a. Adult women spend more money on medical care than men do. b. Single individuals regardless of age are hospitalized less than married people are. c. Infant girls are healthier than infant boys are and consume fewer medical resources. d. The elderly who survive past age 80 spend about the same amount on medical care as 60-year-olds do. e. Average hospital stays are longer for women than men.
What improvements do you think is needed or what mechanisms or systems can you proposefor health care delivery system in the following areas? Cite references from reliable sources.a. Programs and Servicesb. Policy
Scenario: The hospital is close to a military base, but it currently does not accept Tricare insurance. Is this a well-defined problem or an ill-defined problem, why?