RMI Test 3

Question 1

Medicaid

Answer 1

poor children and nursing homes

Question 2

medicare

Answer 2

people over 65 and Dialysis

Question 3

Moral hazard reimbursement of healthcare

Answer 3

When insurers pay healthcare providers claims for services rendered to patients

Question 4

Distinguishing features of an HMO compared to indemnity

Answer 4

networks of doctors, PCP’s are at financial risk for overutilization of healthcare, premiums for HMO’s are less

Question 5

Moral hazard in the production of health care

Answer 5

healthcare providers provide services to patients

Question 6

Adverse selection in the financing of healthcare

Answer 6

patients pay premiums to insurers, and sponsors pay premiums to insurers or third parties

Question 7

fee for service

Answer 7

providers paid separetly for each service rendered

Question 8

Why do CDHP’s encourage low prices

Answer 8

price competition between doctors

Question 9

Characteristics of HSA

Answer 9

can be used for non-medical expenses and there is an investment component

Question 10

Characteristics of an FSA

Answer 10

owned by the employer

Question 11

True statements of a PPO

Answer 11

network has some coverage, providers are paid “fee for service”