which of the following statements describes managed care?

Which of the following statements accurately describe an aspect of managed care? The nurse in charge of the clinic asks herself, "Who needs this medicine most?" Fixed-price reimbursement is a feature of managed care. c. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? Find answers to the next exam here: FEMA IS-120.C: An Introduction to Exercises Answers. Tax-exempt account that is used to pay for health care expenses. Healthcare Effectiveness Data and Information Set (HEDIS). 13. c. Without advertising income, we can't keep making this site awesome for you. 2. Chapter 1 Medical Assisting Profession Quiz, Chapter 2 Health Care Settings and Health Car, Unit 3, Real Estate License Law And Commissio, Chapter 1: The Medical Assisting Profession, Chapter 2: Health Care Settings and the Healt, Julie S Snyder, Linda Lilley, Shelly Collins, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers. C. Practice a fire drill every month throughout the fire season. D) Risk management is a spontaneous response to an unexpected incident. (sometimes called a participating provider organization) is a managed care network of physicians and hospitals that have joined together to contract with insurance companies, employers, or other organizations to provide health care to subscribers for a discounted fee. 2.8) Which of the following best describes the type of medical office practice in which providers network to offer discounts to employers and other purchasers of health insurance? Damage from mudflows cannot be covered by insurance. Health risk assessment instruments (surveys) and resources are also available to subscribers. A) A PPO is a group of health care providers, such as doctors, hospitals, and ambulatory health care organizations, that contracts with a group to provide their services. B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. B) The cost of healthcare in the United States has decreased dramatically. 3) What are the minimum age and service requirements that can be imposed on employees eligible to participate, A) age 18 and 6 months of service B) age 21 and 1 year of service, C) age 21 and 3 years of service D) age 25 and 4 years of service. Some case managers employed by the MCO to monitor services provided to enrollees and to be notified if a patient fails to keep a preauthorized appointment A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? 2. 2.13) Which of the following best describes the purpose of managed care? 11. Health care is provided by individuals who are not employees of the HMO or who do not belong to a specially formed medical group that serves the HMO. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). A. Higion is a website that writes about many topics of interest to you, a blog that shares knowledge and insights useful to everyone in many fields. Son las diez de la noche y nosotras estamos cansadas. An integrated delivery system may also be referred to by any of the following names: integrated service network (ISN), delivery system, vertically integrated plan (VIP), vertically integrated system, horizontally integrated system, health delivery network, or accountable health plan. Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. Point-of-service plan (POS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service, makes it possible to compare the performance of health plans on an "apples-to-apples" basis. C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. Select all that apply. Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. Which of the following statements iscorrectregarding hurricanes? D) Historically, payment for healthcare services encouraged the use of expensive services. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. Which of the following statements correctly describes animal disease outbreaks? The owner of an escaped animal may be held liable for damages his/her animal creates. Which of the following statements best describes an integrated delivery system? A patient who requires treatment for breast cancer is referred to an oncologist. A. D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. The most common health plans available today often include features of managed care. Choose the correct description or cause of pharyngitis. Unused balances "roll over" from year to year; if an employee changes jobs, he or she can continue to use the HSA to pay for qualified health care expenses. Patients' needs are assessed and prioritized. Note In managed care, the primary care provider usually receives capitation payment and is responsible for managing all of an individual's health care, which includes reimbursing other caregivers (e.g., specialists). Managed care can now be categorized according to six models: 1. In outbreaks reported from acute care settings in the U.S. following implementation of unive. What is the confusion that might arise concerning her treatment and care is a problem known as? What is one responsibility of nurses who work in physicians' offices? How would the nurse respond? Managed care gives rise to ethical problems associated with balancing utilitarian views of cost-effective care with a respect for persons and the traditional view of a duty to care. C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. Patient care delivery 2. John Rawles suggested that in making decisions of distributive justice, one should examine the situation behind a "veil of ignorance" so that no one would be able to design principles to favor his or her particular condition. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. b. a condition in which the nasal septum strays from the midline of the nasal cavity, c. a chronic bacillus infection that usually affects the lung and is caused by a mycobacterium, d. an inflammation of the mucous lining of the larynx, e. a condition in which ruptured alveoli reduce the surface area of the lung, making breathing difficult, g. an obstructive disorder characterized by recurring spasms of the smooth muscles of the bronchi, i. an inflammation or infection of the pharynx, j. a disease characterized by a lack of surfactant in the alveoli; usually occurs in premature infants. National rivers, which are among the categories, are overseen by the bureau. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. If enrollees choose to receive all medical care from the managed network of health care providers, or obtain an authorization from their POS primary care provider for specialty care with an out-of-network provider, they pay only the regular copayment or a small charge for the visit and they pay no deductible or coinsurance costs. Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. Which of the following best describes the connection between ethics and health care financing? [Solved] Which of the following statements describes managed care organizations? D.Carcassesmust be disposed of onsite. ), State insurance departments, state commerce or departmenf of cooperations. Which of the following statements will NOT reduce risks arising from wildfires? 22. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. 6. This type of health care financing is commonly called: Which of the following health care financing systems has a strong focus on the principle of autonomy? ICT also includes analog technology, such as paper communication, and . It is attentive to the needs of the membership group and individual patients. e. Managed care plans are a type of health insurance. B. Which of the following statements accurately describes disaster assistance? llegar a tiempo Animals that have recently moved from a warmer to a colder climate are at a greater risk of hypothermia than animals that have lived in a colder climate for longer periods. He tells the nurse, "I don't know what that word, outpatient, means." Which of the following is a trend to watch in healthcare delivery? Which of the following statements accurately describe an aspect of managed care? Most human injuries in earthquakes result from falling objects. 5. Providers are employees of the organization. 3. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. Which of the following is true of long-term care facilities? You have three metal samples- A,B\mathrm{A}, \mathrm{B}A,B, and C\mathrm{C}C - that are tantalum (Ta), barium (Ba), and tungsten (W), but you don't know which is which. D. Heat stress in animals only occurs under conditions of extreme heat. a. proximal radius C. Volunteer organizations are the only source of disaster assistance at the locallevel. 14. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. The Incident Command System provides a consistent method to respond to all types of emergencies. Which of the following statements accurately describes the activation of federal agencies in disasters? 2.11) Concierge care does not offer patients which of the following? Employees contribute funds to the FSA through a salary reduction agreement and withdraw funds to pay medical bills. B. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. Specialty Pharmacy J. Industry/Manufacturing. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. D) There is only one supplier for all units of a particular product. Professional standards review organizations (PSROs). Brace anchor all tall or top-heavy objects. which of the following statements describes managed care? Select all that apply. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. C. Emergency managers are responsible for finding the owners of all lost animals. how has dissection been used in engineering; which of the following statements describes managed care? Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. D. For a State to qualify for Federal disaster assistance from FEMA, it is best if the State has laws that are consistent with those of Federal emergency management law. C. The number of animals that need to be evacuated from a farm is an important factor in determining how quickly a farm can be evacuated. D) Medicare and Medicaid will pay most of the costs. A) The contribution rate is. Even though managed care. The use of an out-of-area contact can be an effective way to coordinate in disasters. 5. B) The contribution rate is fixed, and the retirement benefit is known in advance. A. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? 6. b. If livestock raised for human consumption are removed from a farm, care must be taken that the animals are not exposed to diseases or hazardousmaterialsthat could threaten the human food supply. A. Which of the following statements is/are correct regarding the humane care of animals in disasters? manages the delivery of health care services offered by hospitals, physicians (who are employees of the _____), and other health care organizations (e.g., an ambulatory surgery clinic and a nursing facility). a. A) locally supported healthcare financing, usually by donations B) a public assistance program for low-income individuals C) predetermined payment for services based on medical diagnoses D) a private insurance plan for subscribers who pay a copayment. She explains that a reoccurring rash on her legs has been bothering her, and her provider wants the other doctor to examine the rash and treat her if possible. d. 18. Most natural disasters affect local communities least of all. B. which of the following statements describes managed care? Which of the following are effective MITIGATION (reduction, prevention) activities for farms? d. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . A) primary care B) respite care C) bereavement care D) palliative care, 12. 1 . A. Compute the expected value of the damages and fill in the chart below. Explain whether or not scientific methods are sets of procedures that scientists follow. Which of the following statements accurately describes an aspect of home healthcare? B. A man is scheduled for hospital outpatient surgery. Examples of health care cost containment in the 1980s included: a. 21. Which of the following statements iscorrectregarding snow fall? B) Employer contributions are deductible up to certain limits as an ordinary business expense. D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. Which of the following statements best describes this system? A grade school is preparing a series of classes on the dangers of smoking. C. Hurricanes frequently cause flooding along the coast, but not inland. Institutions vary in their level of formality and informality. D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. Disaster advice from the USDA is provided by the Cooperative Extension Service. Peer review organizations (PROs). c. B. D) Pension benefits attributable to the employer, s contributions are not taxed until the employee retires or, 2) Beta Corporation has 1,000 employees eligible to participate in the firm, employees are considered highly compensated. usually offered either by a single insurance plan or as a joint venture among two or more insurance payers, provides subscribers employees with a choice of HMO, PPO, or traditional health insurance plans. If livestock raised for human consumption are removed from a farm, care must be taken that the animals are not exposed to diseases or hazardousmaterialsthat could threaten the human food supply. ayudar a los otros pasajeros . Accreditation is a voluntary process that a health care facility or organization (e.g., hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law. Medical practice that treats disease, such as medications and surgery Allopathic Individual contributes to the injury or condition Contributory negligence A person under the age of 18 who has been legally separated from his/her parents Emancipated minor Discontinue medical care without proper notice after accepting a patient Abandonment Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. 4. 26. Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. 19. trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. Course Hero is not sponsored or endorsed by any college or university. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. B. Patient care . Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. Which of the following statements arecorrect? A. A. C) The nurse is considered the "gatekeeper" in the managed care system. B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. Managed care programs have been successful in containing costs and limiting unnecessary services, resulting in the current trend for health care plans to offer the SSO as a benefit, not a requirement. Which of the following organizations provides independent, impartial assistance in more than 60 countries to people whose survival is threatened by violence, neglect, or catastrophe, primarily due to armed conflict, epidemics, malnutrition, exclusion from health care, or natural disasters? Health care services are provided to subscribers by physicians employed by the HMO. What type of insurance is most likely involved? A Colles fracture occurs at the: [11 Proven Strategies], 20 Best Companies for Employee Benefits & Perks 2022, Learning Graphic Design: 9 Easy First Steps for Beginners - Self-Made Designer, Solitario clsico - Solitario de tres turnos, FR Legends Supra MOD APK (2022) [Unlimited Money] Free Download, Cops can't break these rules if you're pulled over | finder.com, Massey Ferguson: Tractor Warning Light Meanings. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. 2. A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. B) genetics and income. Which of the following statements about managed care are true? 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Integrated delivery system (IDS) D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. These include provider networks, provider oversight, prescription drug tiers, and more. Storing patient care information: All of the primary purposes of the health record are associated directly with the provision of patient care services. d. distals carpals, Use the integral test to find whether the following series converge or diverge. managed care plans because of restrictions placed upon their freedom to treat patients. HMO 51) Which of the following statements about managed care plans is (are) true? Which of the following statements describe effective operations in disasters? The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. D. Landslides rarely affect agricultural property. A. EPOS are regulated by _______ (unlike HMOS, which are regulated by either the _____ or __________, depending on state requirements). horse hind leg tendon sheath. (B) Give the symmetry number for each of the following molecules: In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . The federal _________ plan requires managed care plans that contract with Medicare or Medicaid to disclose information about ________ plans to CMS or state Medicaid agencies before a new or renewed contract receives final approval. B. Which of the following phrases is characteristic of case management as a method of healthcare delivery? (a) CO\mathrm{CO}CO, (b) O2\mathrm{O}_2O2, (c) H2S\mathrm{H}_2 \mathrm{~S}H2S, (d) SiH4\mathrm{SiH}_4SiH4, and (e) CHCl3\mathrm{CHCl}_3CHCl3. 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . Which of the following statements accurately describes the clinical nurse leader (CNL)? A. d. Unlike traditional fee-for-service. Beginning in 2006, the Physician Quality Reporting System (formerly called Physician Quality Reporting Initiative or PQRI system) established a _____ incentive for eligible professionals who participate in a ________ quality reporting program. Discontinued Capitation, adopted fee-for-service. efficient and lower cost manner. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. Case managers do not use the nursing process. Which of the following statements iscorrectregarding the disposal ofcarcasses?

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