HLTH 8401 Week 3 Discussion: Design of Health Insurance Policies
Health insurance is designed to protect patients from the risk of expensive medical services. The cost of insurance, however, is steadily rising. When costs are too high, healthier individuals tend to not purchase insurance coverage, resulting in a lower percentage of healthy individuals to pool with those who have health issues. This poses a challenge for employers and the government, as they are tasked with designing viable policies that balance cost and generosity of benefits. For this Discussion, examine the following scenario and consider the type of insurance policy the employer should design and provide for employees.
Resources
Be sure to review the Learning Resources before completing this activity.
To prepare for this Discussion:
- Review the provided scenario. What is the obligation of the employer and the government in insuring these two populations of individuals? How do moral hazard and adverse selection impact these insurance provisions? How do the social determinants of health reflect in your insurance decision?
- Consider the type of insurance policy the employer should design and provide for its employees. Be sure to consider type and generosity of coverage, premiums, deductibles, and cost-sharing.
By Wednesday
Post a cohesive response to the following:
- Analyze obligations of the employer and the government in insuring the two populations of individuals described in the scenario.
- Evaluate the impact of moral hazard and adverse selection on these insurance provisions.
- Recommend the type of health insurance policy the employer should design and provide for its employees. Defend your recommendation, including an explanation of how the social determinants of health are addressed in your recommendation.
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.
Refer to the Week 3 Discussion Rubric for specific grading elements and criteria. Your Instructor will use this grading rubric to assess your work.
By Friday
Respond to at least two of your colleagues’ postings in one or more of the following ways:
- Expand on this Discussion by highlighting differences between your own posting and your colleagues’ postings.
- Provide additional insights or alternative perspectives.
Continue engaging in the Discussion through Sunday.
SOLUTION HLTH 8401 Week 3 Discussion: Design of Health Insurance Policies
Hello Class,
Obligations of Employers and Government in Health Insurance
In modern labor markets, the intersection of employer obligations and government regulations shapes the landscape of employee health insurance. Employers are mandated to provide health insurance that meets certain legal standards, while the government plays a critical role in ensuring access to affordable healthcare coverage. In the scenario presented, the construction company with a workforce comprising younger employees and a significant portion of older employees with chronic diabetes faces unique challenges in designing an effective health insurance policy….
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(FINAL ANSWER) HLTH 8401 Week 4 Discussion: Healthcare Reimbursement and Utilization Management