VERIFIED 100% RATED
Insurance Basics
Fundamental principles of insurance including risk management and protection from
financial loss
Adverse Selection
Situation where individuals with higher risk are more likely to purchase insurance
Moral Hazard
Risk of overuse of health services due to insured individuals not bearing full cost
consequences
Third-Party Payers
Entities other than the patient who pay for healthcare services, such as insurance
companies
Public Payers
Government entities that provide healthcare coverage, such as Medicare and Medicaid
Managed Care Plans
Healthcare plans that integrate service provision and insurance functions within a single
organization
Healthcare Reform
Changes in healthcare policies and systems to improve access, quality, and cost of care
Pooling of losses
Combining resources to cover losses incurred by a few from a larger group