Insurance
2
Insurance Why is there insurance for medical care? Why is health insurance tied to employment? Why is risk-adjusting premiums important? Cost sharing Why don’t insurance companies just give you a lump sum if you get sick? How does cost-sharing affect patients’ use of health care? What are the advantages and limitations of different methods for measuring the impact of cost sharing on health? What is the difference between deductibles, coinsurance, copayments, and out-of-pocket maximums? What is the impact of cost-sharing on the use of preventive care and health? Quality What is the rationale for publicly reporting quality? What is the relationship between provider-level volume and our ability to measure quality? What is the rationale for risk-adjusting quality measures? What are the potential adverse effects of publicly reporting quality? Under what circumstances should we measure and publicly report quality? Health system design What are the advantages and drawbacks of fee-for-service reimbursement, capitation, and salary? Why do insurers maintain provider networks?
-
Upload
rpascua123 -
Category
Documents
-
view
212 -
download
0
description
hlthpolicy
Transcript of Insurance
Insurance
Why is there insurance for medical care?Why is health insurance tied to employment? Why is risk-adjusting premiums important?
Cost sharing
Why don’t insurance companies just give you a lump sum if you get sick?How does cost-sharing affect patients’ use of health care?What are the advantages and limitations of different methods for measuring the impact of cost sharing on health?What is the difference between deductibles, coinsurance, copayments, and out-of-pocket maximums?What is the impact of cost-sharing on the use of preventive care and health?
Quality
What is the rationale for publicly reporting quality?What is the relationship between provider-level volume and our ability to measure quality?What is the rationale for risk-adjusting quality measures?What are the potential adverse effects of publicly reporting quality?Under what circumstances should we measure and publicly report quality?
Health system design
What are the advantages and drawbacks of fee-for-service reimbursement, capitation, and salary?Why do insurers maintain provider networks?What are the possible effects of vertical integration on costs and quality?
Medicare & Medicaid
What is the Medicare Part A trust fund and why is it going bankrupt?
Health care spending
Why has health care spending increased over time? Should we care?
Why are health care costs higher in the US compared to other industrialized countries?What are some options for reforming Medicare to reduce spending growth?
