Hsmu372:Health Risk And Insurance Question Paper

Hsmu372:Health Risk And Insurance 

Course:Health Management System

Institution: Kenya Methodist University question papers

Exam Year:2010



SCHOOL OF HEALTH SCIENCES

DEPARTMENT OF HEALTH SYSTEM MANAGEMENT AND MEDICAL EDUCATION

DURATION: 3 HRS


INSTRUCTIONS: 1. Answer ALL Questions in Section A and TWO in Section B 2. Write your University ID on ALL scripts 3. Use only blue, black ball point or ink


SECTION A


Question 1

Explain what you understand by the following terms. (8Marks)

a) Insurance

b) Moral hazard

c) Provider induced demand

d) Underwriting.


Question 2

List and discuss with examples four classes/types of non-life insurance (4Marks)


Question 3

List and discuss the functions of a risk manager (4Marks)


Question 4

a) Define risk management? (2Marks)

b) List the risk management process/steps. (3Marks)


Question 5

a) Distinguish between frequency and severity of risk (2Marks)

b) In addition to age explain the other underwriting considerations for acceptance by a health insurance (3Marks)


Question 6

a) What do you understand by the term objectives-based risk assessment? (2Marks)

b) List the other risk assessment methods. (3Marks)


Question 7

a) Discuss the common risk identification tools (6Marks)

b) Define risk financing (2Marks)

c) Contrast the two known methods of risk financing (5Marks)


Question 8

a) Explain what an intermediary is in insurance terms (2Marks)

b) Contrast the roles of a broker and an agent (4Marks)


SECTION B


Question 9

Discuss with specific healthcare examples any five principles of insurance (25Marks)


Question 10

You have been appointed the risk manager of Kenya Methodist University Meru campus. Give the various objectives that you will develop for your department and/or the organization. Highlight the risk management process you will undertake to mitigate against the risk of cholera disease outbreak in the University Kitchen. (25Marks)


Question 11

a) With specific examples please discuss the socio-economic role of insurance in Kenya (12Marks)

b) Discuss the key challenges faced by the health insurance organizations in Kenya(13Marks)






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