What principle does 'community rating' refer to in health insurance?

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Community rating is an important principle in health insurance that refers to the practice of setting premiums based on the overall risk of the entire community rather than on the individual health status of each insured person. This means that everyone in a certain geographical area or demographic group pays the same premium, regardless of individual health conditions.

The goal of community rating is to promote equity and ensure that health insurance is accessible to all individuals, as it prevents higher risk individuals from being charged exorbitantly high premiums based solely on their health status. By distributing the cost of health care across a larger group, those who are healthier can help support those who may need more care, ultimately leading to a more comprehensive insurance pool.

This practice contrasts with other methods where individual risk factors, such as health status or family history, might dictate insurance costs, which could result in significant disparities in premium amounts among different individuals. Additionally, while geographic location may influence costs due to varying healthcare expenses, community rating specifically involves a collective assessment rather than localized adjustments based on individual risk factors.

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