Question

A health care insurance company finds that its division in one state is losing money and...

A health care insurance company finds that its division in one state is losing money and decides to cut off insurance to that state in order to cut costs. Is this the best decision?

Homework Answers

Answer #1

Soln. The decision to cut off the insurance to the state, where the company is loosing money, is not the best decision. There can be several reason for the loss in revenue and company has to investigate and take proper action rather than simply shutting the business off in that state. The issue can be quite temporary, which can occur in any state and in that case, company has to completely shut down the business. So, the idle decision would be to understand the root cause of the loss and then tries to take remedial action to solve it rather than closing the insurance in that particular state. A small, remedial action may make the state most profitable in future.

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
One mechanism in the Affordable Care Act intended to extend health insurance to the uninsured is...
One mechanism in the Affordable Care Act intended to extend health insurance to the uninsured is expansion of Medicaid. What is the economic incentive for states to expand their Medicaid program to cover more low-income people? If a state expands its Medicaid program, the federal government will pay 90% or more of the cost of the additional people that are now eligible for Medicaid. If a state does not expand its Medicaid program, the federal government requires it to pay...
One of the hallmarks of the 2010 Affordable Care Act is its mandated health insurance coverage...
One of the hallmarks of the 2010 Affordable Care Act is its mandated health insurance coverage for contraception. However, in October 2017, the Trump administration made it easier for an employer, nonprofit or for-profit, to exclude the contraceptive coverage from the health plan an employer offers to its employees if the employer has religious objections though its execution is blocked by courts. Do you believe that the employer has religious autonomy to run the company without their faith being coerced...
The amount of money spent on health claims by an insurance company, on a monthly basis,...
The amount of money spent on health claims by an insurance company, on a monthly basis, follows a uniform distribution over the interval [$84000, $103,500]. a. Compute the probability that less than $93,000 will be spent by the insurance company in health claims. b. What is the mean monthly amount spent in health claims by the insurance company?
Health insurance is central to any health care delivery system. The United States currently uses a...
Health insurance is central to any health care delivery system. The United States currently uses a mixed system of private and public insurance policies available to its citizens, depending upon age and income levels. All forms of health insurance will reduce out-of-pocket expenditures on the purchase of health care services. Out -of-pocket expenditures are typically perceived as the price of the service, and are most important when making purchasing decisions. Insurance plans are most effective when certain conditions are met,...
A health insurance company decides not to contract with pediatric oncologists in its coverage area. This...
A health insurance company decides not to contract with pediatric oncologists in its coverage area. This is an example of the following type of behavior: a. Moral hazard b. Adverse selection c. Rate setting d. Price fixing e. Cherry-picking
Your company has recently revamped its health care insurance plan. You now have a choice of...
Your company has recently revamped its health care insurance plan. You now have a choice of one of three plans as shown below: Plan 1: The monthly cost is $32 and the insurer pays 90% of all expenses after you have paid the first $500 each year ($500 deductible). Plan 2: The monthly cost is $5 and the insurer pays 90% of all expenses after you have paid the first $1200 each year ($1200 deductible). Plan 3: The monthly cost...
Division Y has asked Division X of the same company to supply it with 7,800 units...
Division Y has asked Division X of the same company to supply it with 7,800 units of part L763 this year to use in one of its products. Division Y has received a bid from an outside supplier for the parts at a price of $47 per unit. Division X has the capacity to produce 31,200 units of part L763 per year. Division X expects to sell 28,080 units of part L763 to outside customers this year at a price...
3. Insurance company A claims that its customers pay less for car insurance, on average, than...
3. Insurance company A claims that its customers pay less for car insurance, on average, than customers of its competitor, Company B. You wonder if this is true, so you decide to compare the average monthly costs of similar insurance policy from the two companies. For a random sample of 9 people who buy insurance from company A, the mean cost is $152 per month with a sample standard deviation of $17. For 11 randomly selected customers of company B,...
A certain HMO is attempting to show the benefits of managed care to an insurance company....
A certain HMO is attempting to show the benefits of managed care to an insurance company. The HMO believes that certain types of doctors are more cost-effective than others. One theory is that Certification Level is an important factor in measuring the cost-effectiveness of physicians. To investigate this, the HMO obtained independent random samples of 20 physicians from each of the three certification levels-- Board certified (C); Uncertified, board eligible (E); and Uncertified, board ineligible (I)-- and recorded the total...
The federal program of health insurance for the elderly and some disabled individuals is   called Medicare...
The federal program of health insurance for the elderly and some disabled individuals is   called Medicare CHIP Medicaid VA A way of making up losses in health insurance by charging more to the insured is termed The “Robin Hood” theory Co-Payment A Premium Cost Shifting An example of Cost Sharing would be Package Pricing A Beneficiary A Co-Payment A Single Payer System The Affordable Care Act will have an impact on what portion of a select groups (high earners) pay...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT