Economic Issues Simulation Paper

1348 WordsMar 31, 20126 Pages
Economic Issues Simulation Paper Christi L. Baker HCS 440 March 5, 2012 Steven Miracle Abstract Castor Collins Health Plans, a regional health maintenance organization (HMO), in the state of Pantome provides HMO health insurance and health care services to enrollees through its statewide network of physicians and hospitals. E-Editors, a company with 1600 employees has asked Castor Collins to find an employee health insurance plan that accepts preexisting conditions at a maximum premium of $4,500 per person. Caster has two plans, which may fit the client’s demands. This paper converses the selection method including risk factors as compared to premiums that the company is willing to pay. In addition, the paper also considers the…show more content…
Thus, this plan covers preexisting conditions, but risks under this plan are lower than under Caster Enhanced, because this plan covers fewer services (University of Phoenix, 2011). For E-Editors, the premium charged for this plan is $4,491, and earnings are $7.19 million (University of Phoenix, 2011). For E-Editors, the premium charged for Castor Standard is $3,485 and earnings are $5.58 million (University of Phoenix, 2011). The risks and returns in this plan are low (University of Phoenix, 2011). A comparison of the expected utilization and the returns from providing Castor Standard to this group shows that the risks are quite high, and earnings from this plan are not sufficient to cover them (University of Phoenix, 2011). This plan is not the best choice of plan for E-Editors because one could mitigate risks by providing a different plan or by not insuring the group (University of Phoenix, 2011). Risk adverse customers buy health insurance to avoid losing income or wealth when indisposed (University of Phoenix, 2011). The insurance company in this case Castor Collins bears the risk in return for the premium and takes care of enrollees’ medical expenses (in part or full) when indisposed (University of Phoenix, 2011). The premium that Castor Collins receives is a source of revenue (University of Phoenix, 2011). It is
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