Moral Hazard In Health Care

Improved Essays
Moral hazard is the tendency to overconsume medical care. The term is used by economists as describing the taking on more risk as the cost go up. When it comes to medical care the overall effect is the shifting of the demand curve for medical services and raising the equilibrium price. The purpose of buying health insurance is to financially protect the insured from a large financial expense if they become ill. Illness can come at any time and the medical expenditures are unpredictable for each person. Insurance companies look at risk factors within a large population group with similar characteristics. This allows them to calculate the probability of a health event occurring (Feldstein, 2012).
The health insurance premium protects the insured
…show more content…
During the 1970’s until the recent recession in 2008-2009 the medical expenses have risen faster than inflation. Third party payments and their moral hazard has increased demand and thereby driving up prices. Medical suppliers work with relatively low levels of third-party payment have seen significantly lower price of third-party payment have seen a price drop. The common insurable risk is the chance of a loss is small, the magnitude of loss financially will be devastating to the individual, and lastly when the risk is spread over a large group of people the premiums are more affordable. An example given was the chance of getting hit by a car because the risk is small. As well the medical cost for the medical services would be financially devastating as well the risk could be spread to a whole group resulting in affordable premiums. However, many services do not fit into this category and are consider predictable expenses or minor care (Buff & Terrell, …show more content…
The idea of medical insurance first began around 1260 with German Knappschaftverein. The idea was to have voluntary, charitable organizations which provided short and long term sickness insurance and pensions. The modern form of insurance was created in 1850 in the United States by Franklin Health Assurance Company of Massachusetts to cover injuries related to railroad and steamboat accidents. At that time many Americans did not own health insurances because most cost came right out of the patients pocket. This changed during World War II when politicians created a wage and price control to increase the number of insured. The U. S. Supreme Court in 1943 boosted demand for insurance by stated that employer-provided health insurance is tax exempt. This was only for employees that were in the 20 percent tax bracket; their employers would have offered $10,000 each and would receive 100 percent of their benefits. This was all changed when President Kennedy did tax cuts due to the high federal taxes which prevailed after World War II (Buff & Terrell,

Related Documents

  • Improved Essays

    Big insurance, little things When people get to a certain point in their life, they begin to start families. A person who has a family will do anything to protect them and make them feel safe. This is where insurance comes into place. There are many insurance companies that make people want to spend their money at those companies.…

    • 621 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Companies are increasingly reluctant to pay for their employees’ insurance because it’s no longer a cost-effective way to keep a stable workforce. Thomas 3 Insurers are wary of covering individuals with serious medical problems--and HMOs apply extra scrutiny to their treatments--because those people run…

    • 1007 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Insurance companies: Insurance companies are expected to come in a pay for the treatment of all medical problems, often that could have been treated at a much earlier state of possibly prevent with proactive health care, increased public education…

    • 123 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    This paper will discuss liability and negligence in the healthcare field as well as negligence issue in the healthcare field. Liability is defined as a potential for a lawsuit (Dunn 114). Liability can be found just about anywhere and is a concerning area in today’s age. Healthcare workers are very familiar to this word and been familiarized throughout their careers with this word. I can’t be a scary thing to think about in this field the potential to be sued from an employee level all the way to a corporate level.…

    • 714 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    There are so many aspects to the healthcare field that affect the “Iron Triangle”. It is up to us as healthcare manager to know healthcare in and out so we can implement and decide what direction we need to direct our staff everyday.. We need to understand the impact modern medicine has, why healthcare cost is rising, what major issues we are facing, understanding Medicaid and Medicare and the current state of national health policy. If we were to change one thing it would have to be that there would be a cap on how things are charged so that people were not overcharged for something just because the doctor can. This would help the health care system so much in having a budget to plan for national epidemics.…

    • 1350 Words
    • 6 Pages
    Superior Essays
  • Great Essays

    With health insurance it gives people the ability to pay for the services but also give the consumers and providers to price the service high. Consumer behavior leads to a higher use of health care services when the services are being paid for by the insurance. This is known as moral hazard. If the consumers had to pay out of pocket then many of the services would not be used at all. This is known as provider-induced demand.…

    • 1225 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    The U.S. Affordable Care Act has three main factors that support the system. The reformed healthcare system can be compared to three-legged stool because it consists of three factors which include, insurance companies must sell coverage to people with pre-existing conditions as well as subsidies to help with premiums to ensure that everyone has coverage. After the affordable care act was implemented the rates of the uninsured declined, yet there are still millions without insurance with punishments to people who want to opt out of insurance. Obamacare doesn’t control the cost of medical insurance rather the cost is based on the completion among private insurance sectors. Even with this recent health care reform, the United States health…

    • 403 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Health care is ever-changing and growing for sustainable health and affordable costs. Certain sections of the ACA are the cause of the unintended consequences that will be mentioned in further detail. Since the emergence of the Affordable Care Act in March 2010, the loopholes of obtaining health insurance from Obama Care are lengthy and cumbersome. The delivery of health care and insurance premiums is part of the reason for the unintended consequences.…

    • 1486 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Before ObamaCare, people with illnesses, such as cancer, diabetes, hypertension, high cholesterol, etc, made it harder for people to get insurance. Insurance companies set limits on how much they would spend on one…

    • 1091 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    I have found 3 articles on different types of insurance, the types of insurances are health insurance, life insurance, and vehicle insurance. The article about health insurance is about Obamacare and 10 questions people have about it. The first question is what Obamacare is. Obamacare is a national law with two goals: making health insurance better for people who already have it and getting it for people who are uninsured. It talks about how Obamacare is trying to help people and other things it is doing.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Uninsured Health Care

    • 1298 Words
    • 6 Pages

    Research findings showed that the insured have better health outcomes than the uninsured. The connection found a relationship among the insured and access to preventive medical care, regular, high-quality and effective care for chronic conditions and diseases, and better quality of acute care. In addition, the quality and length of life is different between the uninsured and insured. The uninsured have greater declines in their health status and mortality rate is higher due to they die sooner (2002).…

    • 1298 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Obamacare has had the largest impact on the individual market, which was largely unregulated prior to the healthcare reform law. It sought to make health insurance more accessible and affordable in a number of ways. It required insurers to cover people with pre-existing condition and banned them from charging the sick more. It mandated that individual insurance cover an array of benefits, including medication, maternity and mental health (Luhby,…

    • 685 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    I agree with the author’s point of view that health insurance tends to change the purchasing decisions of consumers. Moral hazard occurs when a person’s behavior or state of mind is affected by the presence of insurance coverage, in a way that rises the risks of costs for the insurer because the insured person is no longer liable for the full costs. The insured consumers are likely to be careless and take greater risks, knowing that the claim will be covered by the insurer. I believe that the risk of moral hazard can be reduced by increasing the out-of-pocket costs of the insured through larger co-payments, co-insurance, high-deductibles, and other restrictions. This decreases their incentive to consume expensive and unnecessary healthcare.…

    • 121 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    John Q Documentary

    • 535 Words
    • 3 Pages

    Health insurance is a substantial deal in modern health care because it deals with the financial part of the treatment that is given by the health care provider. These questions discuss the importance of health care insurance and the effect it has not only this movie, but on society and health care in general. To begin with the first question, “Why doesn’t the hospital bend the rules for John Q’s situation?”…

    • 535 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Our current model of insurance has removed us from the direct purchasing process; thus we do not appreciate that we are spending our own money. This distortion has led to cavalier spending. But, if we were instead faced with the choice between sacrificing our prospects of owning a home, traveling, or pursuing various other passions, in order to afford exhaustive insurance, Dworkin argues we might think twice. From our value judgments, we would then set specific boundaries for medical care…

    • 1083 Words
    • 5 Pages
    Improved Essays