HSA4109 Questions with Correct Answers
The term "moral hazard" refers to which of the following?
A change in behavior caused by being at least partially insulated from the full economic
consequences of an action
"In the Agent - Principal Problem as understood in the context of moral hazard, the Agent
refers to
The physician
The term Asymmetric Knowledge as understood in the context of moral hazard refers to
When either the insured of the insurer knows something that the other one doesn't
The pooling of unequal risks means happens when healthy people and sick people are in
the same risk pool
True
Inherent vice may or may not include real vice
True
Induced demand does not refer to
A patient has a sudden craving for ice cream induced by receiving a mild electrical stimulation to
the hypothalamus
TF Health insurers and Blue Cross Shield plans can act as third party administrators
(TPAs)
True
Identify which of the following comes the closest to describing a "Rental PPO", also called
a "Leased Network"
A provider network that contracts with various payers to provide access and claims repricing
Key common characteristics of PPOs do not include:
Benefits limited to in-network care
TF The GPWW requires the participation of a hospital and the formation of a group
practice
False
Commonly recognized types of HMOS include all but
PHOs
The term "moral hazard" refers to which of the following?
A change in behavior caused by being at least partially insulated from the full economic
consequences of an action
"In the Agent - Principal Problem as understood in the context of moral hazard, the Agent
refers to
The physician
The term Asymmetric Knowledge as understood in the context of moral hazard refers to
When either the insured of the insurer knows something that the other one doesn't
The pooling of unequal risks means happens when healthy people and sick people are in
the same risk pool
True
Inherent vice may or may not include real vice
True
Induced demand does not refer to
A patient has a sudden craving for ice cream induced by receiving a mild electrical stimulation to
the hypothalamus
TF Health insurers and Blue Cross Shield plans can act as third party administrators
(TPAs)
True
Identify which of the following comes the closest to describing a "Rental PPO", also called
a "Leased Network"
A provider network that contracts with various payers to provide access and claims repricing
Key common characteristics of PPOs do not include:
Benefits limited to in-network care
TF The GPWW requires the participation of a hospital and the formation of a group
practice
False
Commonly recognized types of HMOS include all but
PHOs
