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1.What limits a free and open healthcare market in the United States?
- General Motors has been described as a “health insurance plan for retired auto workers with a side business that tries to make and sell enough cars to pay the premiums.”
-Please take a stance and defend your opinion on the following statement: Employers would be better off dropping insurance as a fringe benefit and making their employees find their own coverage for themselves and their families (Remember, think BIG picture!!!). What would happen to hospitals that get most of their revenues from insurance? Would more people pass on insurance due to the price and therefore we would see more self pays and charities seeking care? Are employment rates high enough that employees would take this change? What would this due to unemployment rates and workers who are currently unemployed and are looking for work?
3-Has managed care hurt or helped the health services industry over the past 30-40 years? Please explain your answer.?
4-You are the sales manager at Expensive Pharmaceuticals. You notice that revenues have been done 10% since you lowered your prices by 10% last quarter. Would you say that your product is elastic or inelastic? Why? Also, what would revenues have gone up by 20% when you lowered prices by 10%?
Is health insurance a right or a privilege?
Please explain how block funding for Medicaid would work if passed by the federal government. Do you agree that this
approach would work? Please explain why or why not.
True or False: deductibles and premiums go in the same direction (as one goes up, so does the other)
Why is it important to have proper registration and scheduling info prior to billing for a patients visit?
Patient A and B go to the same facility for the exam same test. The hospital where they are seen in contracted (in network) with patient A’s insurance, but not patient B. Use the numbers below to calculate how much they will owe out of pocket.
Patient A
$500 deductible (none met)
Plan pays 80%, patient pays 20%
The procedure they had done costs $10,000. However, the negotiated rate for this procedure is $6,000.
Patient B
$700 deductible
Plan pays 60% (out of network)
The procedure also costs $10,000
10-Please tell me 3 mandated healthcare benefits in the state of Illinois. Which plans are required to cover mandated benefits? Which kind of plans are not required to?
Sample Solution
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