HPEX 300 Health Care Delivery in U.S Exam With 100% correct answers 2025

Quad Function Model correct answersFinancing- employer/ individual buys insurance Insurance- insurance agency/ government determines package Payment-reimbursement of the provider by the insurance/patient Delivery- provider delivers service Insurance correct answersTo protect against catastrophic risks Risk correct answersThe possibility of substantial financial loss from some event where probability of occurrence is small Moral Hazard correct answersLack of incentive to guard against risk where one is protected from its consequences by insurance Premium correct answersAmount charged by insurer to unsure against risk Out-of-pocket payments correct answersexpenses that are not reimbursed by insurance -deductible -co-insurance -co payment Cost Sharing correct answersThe share of costs covered by your insurance that you pay out of your pocket Deductible correct answersA specific amount of money that the insured must pay before an insurance company will pay a claim Co- Payment correct answersa payment made by a beneficiary in addition to that made by an insurer Co-Insurance correct answersA type of insurance in which the insured pays a share of the payment made against a claim Group Insurance Policy correct answersProvides group insurance plan to a select group Medigap correct answersHelps pay for some of the healthcare costs that medicare does not cover Self-insurance correct answersThe employer assumes financial risks for the employee Managed Care correct answersRefers to cost management of health care for someone,