Cebs gba 1 module 2 - Study guides, Revision notes & Summaries

Basic assumption of free markets - Answer- Rational consumers will make informed decisions about value, quality and price, while producers meeting consumers' demands will be rewarded with market share and profit. Benefits of free markets - Answer- People who do not like their provider or health plan should be able to "vote with their feet" and select other options. The theory is that choice empowers consumers, regulates producers and, under the right conditions, drives efficiency. Ways ...

CEBS - GBA 1 - Module 2

CEBS - GBA 1 - Module 3 Exam Questions & Answers 2023/2024

CEBS: GBA 2, Module 2 Question with complete solution 2023Pure premium he expected claim experience, gross premium is the pure premium divided by 1 minus the loading percentage. If the pure premium is $1,000 and the loading percentage is 40%, what is the gross premium? the gross premium is $1,000 divided by .60, or $1,666.67. 60% of the gross premium ($1,667 x .60 = $1,000) would be allocated for losses (this would be the loss ratio) and 40% of the gross premium ($1,667 x .40 = $667) would b...

Benefit plan management - Answer- The activities of plan design, plan administration, and plan funding Single-employer plan - Answer- Plans with the most prevalent type of plan sponsor Multi-employer plan (MEP) - Answer- Plans covering employees working under the terms of a collective agreement Association plan - Answer- Plans offered to employers in the same industry or type of business or to individuals in the same profession Creditor plan - Answer- Plans available to individuals t...

CEBS: GBA 1, Module 5 Question already solved 2023Basic difference between medicine and dentistry 1. Physicians typically practice in groups, while many dentists practice almost exclusively in individual offices. This isolation tends to produce a greater variety of dental practice patterns that exist in medicine and doesn't allow for the same opportunities for peer review & general quality control 2. Many individuals may require only preventative or no medical care for years but, because of t...

CEBS: GBA 1, Module 1 Question and answers 100% solved 2023Employee Benefits All forms of financial returns and tangible services and benefits employees receive as apart of an employee relationship Broad View of Employee Benefits Virtually any form of compensation other than direct wages, including: 1. Employer's share of legally required payments (Social security and medicare, unemployment insurance and worker's compensation benefits) 2. Payment for time not worked (paid rest per...

CEBS: GBA 1, Module 3 Question with complete solutions 2023Introduction A summary overview of health plan structures. Employers can provide a single health plan or multiple plan options. Common employer sponsored health plans include: A. A health maintenance organization (HMO) plan B. A preferred provider organization (PPO) plan C. A point of service (POS) plan D. A high deductible plan (HDHP) linked to a tax- advantaged individual savings account Indemnity Plan Employer based plans...

CEBS GBA - Module 1 Verified Questions & Answers 2023. Fringe Benefits - ANSWER Addition of benefits as an offset to higher labor Broad View - ANSWER "Virtually any form of compensation other than direct wages" Limited (Narrow) View - ANSWER Benefits that stem from an employment relationship, not underwritten or paid for directly by the government Reasons for growth in Employee Benefit Plans - ANSWER Business, tax legislation, collective bargaining, efficiency of the approach Labo...

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Exam Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define pre...