Assume That 50 Percent of the Population Consisting of 2,000

question 14

Multiple Choice

Assume that 50 percent of the population consisting of 2,000 low-risk people and 1,000 high-risk people choose a comprehensive health insurance plan having a break even premium of $800.The remaining 50 percent, also consisting of 2,000 low-risk people and 1,000 high-risk people, choose a Health Maintenance Organization plan having a break even premium of $400.If high-risk people submit claims worth $2,000 under the comprehensive plan and $1,000 under the HMO plan, which of the following situations will occur?

• A)High-risk people will shift to the comprehensive plan resulting in an increase in its premium rate.
• B)High-risk people will shift to the HMO plan resulting into a fall in its premium rate.
• C)Low-risk people will shift to the comprehensive plan resulting in a substantial decrease in its premium rate.
• D)Low-risk people in both groups will stick to their respective plans and minimize their losses.

Understand the concept of Alternative Dispute Resolution (ADR) and its importance in the legal system.

Identify and explain various ADR processes such as mediation, arbitration, and negotiation.

Distinguish between binding and non-binding ADR processes.

Recognize the role and authority of an arbitrator in the arbitration process.

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Definitions:

Salem Sump

A type of nasogastric tube featuring a double lumen design, one for removal of gastric contents and the other for air venting.

Nasogastric (NG) Tube

A nasogastric (NG) tube is a flexible tube that is passed through the nose into the stomach, primarily used for feeding or removing stomach contents.

Nausea

A sensation of nausea with a tendency to throw up.

Risk for Latex Allergy Response

Risk for latex allergy response refers to the potential for an individual to develop an allergic reaction after exposure to latex products.