In March 31, 2016, HHS-Operated Risk Adjustment Methodology Meeting Discussion Paper (March 24, 2016) discussed the concept
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In March 31, 2016, HHS-Operated Risk Adjustment Methodology Meeting Discussion Paper (March 24, 2016) discussed the concept of varying cost-sharing levels. In the HHS-HCC risk adjustment model, diverse levels of cost-sharing have been incorporated into the insurance plans. The Affordable Care Act (ACA) established four health plan tiers which are referred to as metal levels. The levels are:
- Platinum 90/10 plan
- Gold 80/20 plan
- Silver 70/30 plan
- Bronze 60/40 plan
Examine this structure from the viewpoint of moral hazard. How would members in the different metal levels make decisions about healthcare services? Do you think four levels of cost-sharing meet the needs of the US healthcare market?
Related Book For
Auditing and Assurance services an integrated approach
ISBN: 978-0134065823
16th edition
Authors: Alvin A. Arens, Randal J. Elder, Mark S. Beasley, Chris E. Hogan
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