Honors Theses

Date of Award

Spring 4-30-2021

Document Type

Undergraduate Thesis

Department

Business Administration

First Advisor

Andre Liebenberg

Second Advisor

Sarah Moses

Third Advisor

Stephen Fier

Relational Format

Dissertation/Thesis

Abstract

The American people are struggling to pay for or find good health insurance. Doctors are unable to prescribe them what they actually need. Their insurance might stop paying for the drug that they had been using that was helping them. They might have to try some amount of drugs or treatments before the insurance company will pay for what the doctor has prescribed. Patients might be having to endure more pain for an unnecessary amount of time at the hands of an insurance company. What are the roots of these problems? With the growing complexity and advancing technology, how are all members of the healthcare team navigating this increasingly convoluted insurance marketplace? Can this be fixed? In order to answer these questions, I researched literature and conducted interviews with healthcare professionals. These problems have come from excessive spending, government mandates, exclusive negotiations, and stifled market competition. Doctors and other providers have their hands tied when it comes to providing the best care possible for their patients, their main concern. Doctors are having to settle for not the optimal prescription, see more patients, do more work, combat reduced revenues, and jump through more hoops. There are some things we can do to help fix some of these problems. We can do away with the Medical Loss Ratio laws, improve market competition by doing things like eliminating the state line restrictions to selling health insurance, get practicing physicians more involved in insurance administration, and incentivize successful outcomes.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Included in

Insurance Commons

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.