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HW-3a Ch 16_Xtns - that insurance companies charge...

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HW 3a: HomeWork Chapter 16 1. How are the providers of health care services to Medicaid recipients paid? Has this affected the health care experiences of Medicaid recipients? Explain. 2. The textbook identifies three reasons why the Prospective Payment System (PPS) did not solve the long-run cost growth problems of Medicare. Describe two of those problems. 3. "Medi-gap" insurance policies can be purchased in the private market and are designed to cover many expenses that Medicare does not cover. Can such policies lead to an inefficient amount of health care? Explain. 4. Suppose that in response to learning that some sick individuals were denied health insurance, the government mandates that insurance companies must offer insurance to everyone at unregulated rates. a. Do you think that this would help reduce the number of uninsured? Explain. b. An alternative strategy for reducing the number of uninsured might be to mandate
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Unformatted text preview: that insurance companies charge individuals with health problems no more than individuals without health problems. Would this help reduce the number of uninsured? Explain. 5. Most private health insurance plans have out-of-pocket limits, which limit the total amount an insured individual can pay in any given year. For example, a plan may have a 10% copayment on all medical services and a $5,000 out-of-pocket limit. If an individual insured under that plan incurs $60,000 of medical expenses in one year, the individual will pay 10% of the first $50,000 ($5,000) after which the insurer will pay 100% of expenses. Currently Medicare does not have an out-of-pocket limit. Suppose the government is considering adding an out-of-pocket limit. What are the advantages of doing so? What are the disadvantages of doing so? Page 1...
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