QUESTIONS AND ANSWERS |
100% PASS
What is healthcare financing? - ANSWER ✔✔Healthcare financing
refers to how people pay for healthcare and how the healthcare system
is funded, influencing access, utilization, and cost.
How does healthcare financing affect access? - ANSWER ✔✔It
determines whether someone can enter the healthcare system; for
example, people without insurance often delay or avoid care.
,What is demand-side rationing? - ANSWER ✔✔Demand-side
rationing occurs when individuals avoid or delay care due to lack of
insurance or high costs.
How does insurance influence healthcare utilization? - ANSWER
✔✔Insurance reduces financial barriers, making people more likely to
seek care.
What is the relationship between insurance coverage and national
healthcare expenditures? - ANSWER ✔✔Expanding insurance
coverage increases utilization, which in turn raises national healthcare
expenditures.
What is risk pooling in insurance? - ANSWER ✔✔Risk pooling is
when a large group of people pays into the same insurance plan to
share financial risk, reducing individual exposure.
How does risk pooling stabilize insurance premiums? - ANSWER
✔✔Larger risk pools lead to more stable premiums because the financial
risk is spread across more individuals.
What is a premium in health insurance? - ANSWER ✔✔A premium is
a monthly fee paid to keep insurance active, which does not count
toward deductibles or out-of-pocket costs.
, What are covered services in an insurance plan? - ANSWER
✔✔Covered services are the specific medical services that the insurance
will pay for, such as preventive care and hospital care.
What is a deductible? - ANSWER ✔✔A deductible is the out-of-
pocket cost a patient must pay annually before the insurance plan starts
covering services.
What is the purpose of copayments and coinsurance? - ANSWER
✔✔They are cost-sharing mechanisms that reduce unnecessary
healthcare utilization by making patients pay a share of the cost.
What is a copayment? - ANSWER ✔✔A copayment is a fixed dollar
amount paid per service, such as $20 for an office visit.
What is coinsurance? - ANSWER ✔✔Coinsurance is a percentage of
the cost that a patient pays after meeting the deductible, such as 20% of
a hospital bill.
What is a stop-loss provision? - ANSWER ✔✔A stop-loss provision
limits out-of-pocket expenses by capping the total amount a patient must
pay in a year.
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