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Moral Hazard: Provider Payment Paradigm

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Identify one moral hazard related to the provider payment paradigm. Propose a way to mitigate the hazard.

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Solution Summary

This solution identifies moral hazards related to the provider payment paradigm and suggests a way to mitigate the hazard.

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A moral hazard is one in which a person may have a tendency to take a risk because the costs of the risks will not be fully felt by the person involved. Since insurers are now involved in making healthcare decisions, you have the case of a third party (someone beside a physician or the patient) making medical decisions. This is particularly hazardous in that the insurer may be more willing to take a risk on reduction of services based upon statistics than a physician would who is entrusted with the ...

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Sally Baldwin, Ed.D
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  • BA, University of Southern California
  • MSS, United States Sports Academy
  • Ed.D, Boise State University
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