Individual versus Group Health Insurance Paper

Individual versus Group Health Insurance Paper

Table of Contents

Order Number	Y47874HDUEW
Type of Project	Essay/Research Paper
Writer Level	PHD/MASTERS
Writing Style	APA/Harvard/MLA/CHICAGO
Citations	5
Page Count	3-15

Description/Paper Instructions

Individual versus Group Health Insurance Paper

 

Activity 1: Overview of Managed Care (100 points)

 

Respond to the prompts below in no more than two pages total. Separate and identify your responses to Part A, B, C, and D.

 

The below scenario is only to provide you with an example of a setting to frame the activity questions. The details of this scenario are not essential to answering the activity questions.

 

Blue Cross Blue Shield Association (BCBSA) consists of 36 independent and locally-operated health insurance companies. Blue Cross was created in 1929 to provide pre-paid hospital care, and Blue Shield was established

approximately a decade later to provide reimbursement for physician services. These separate entities merged in 1982 to form the BCBSA we know today. It’s comprised of: publicly traded companies, such as Anthem; multi-

state private companies, such as the Health Care Service Corporation and Highmark; and single-state or regional companies. BCBSA also operates health plans outside of the United States. The BCBSA has experience offering

health insurance coverage options of all kinds, including individual and group health insurance, and also administers government entitlement programs, such as Medicare and Medicaid. Its health plans have come in many

different forms, including health maintenance organizations (HMOs), preferred provider organizations (PPOs), point-of-service (POS), and consumer-directed health plans (CDHPs), among others. A CDHP is a special form of a

high-deductible health plan coupled with a health savings account (HSA) to help individuals manage health care expenditures. BCBSA continues to grow and currently provides insurance coverage to nearly one out of every three

Americans.

 

Describe the difference between individual and group health insurance. (25 points)

 

Describe the difference between Medicare and Medicaid, including who can qualify for coverage under each program. (25 points)

 

Describe the difference between an HMO, PPO, POS, and CDHP. (25 points)

 

Describe an HSA, including how it can be used to manage personal health care expenditures. (25 points)

 

Individual versus Group Health Insurance Paper

Excellent	The essay demonstrates exemplary comprehension of the relevant content by thoroughly as well as correctly discussing the relevant information; identifying as well as explaining all of the 3 fundamental aspects; using correct terminology; describing the reasoning next to key points/claims; as well as substantiating points with several accurate as well as illuminating examples, as necessary or useful. There are no gaps in the necessary answer.
Good	Scholarly sources that are credible are employed to successfully support statements that are, as the most part, clear as well as fairly expressed. With just a few minor inaccuracies, APA 6th Edition is utilized. There are a few small typos in the references and/or citations. There is some reliance on dubious sources.
Satisfactory	Because of certain improper terminology and/or confusing wording, the work is frequently confused and difficult to understand; thoughts may be disjointed, meandering, and/or repetitious. a lack of structure; and/or grammatical, spelling, and punctuation mistakes.
Poor	The essay demonstrates a lack of understanding of the related documents by failing to address or improperly addressing the relevant; failing to identify or incorrectly trying to explain key concepts/ideas; ignoring as well as incorrectly attempting to explain key points/claims as well as the rationale behind them; and/or inaccurately or improperly using terminology.
No Response	Essay displays great writing abilities, such as a clear as well as thought-provoking thesis, suitable and effective organization, vibrant and persuasive supporting materials, good diction as well as sentence skills, and faultless or almost perfect mechanics, such as spelling and grammar. The essay flawlessly achieves the assignment’s objectives.
Quality of Response	Because of its intelligent growth and mature manner, this study merits attention. It provides a compelling analysis of or reaction to the text, expanding on that response using well-chosen examples and arguments. The sixth paper demonstrates that its author can typically use appropriate words, employ advanced phrases successfully, and adhere to written English rules.
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