which of the following statements describes managed care?a father to his son poem figure of speech

plans emphasize cost control, total health benefit costs continue to increase. B) The family of the patient is required to pay costs. Never tie an animal up if floods are pending. A) There is minimal purchasing-oriented paperwork. Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. B) The care of the patient is carefully planned and monitored by the primary care provider. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). Which of the following is a characteristic of primary healthcare? B) epidemiology. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. The _______ serves as a gatekeeper by providing essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists. A. c.Health insurance must be This problem has been solved! C. Construction of a new barn at a site above a floodplain. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). C) Reimbursement is usually based on fee-for-service. 21. 2.12) Which of the following does not apply to the role of a medical assistant? 2.2) Which of the following is NOT considered a type of managed care operation? (B) Give the symmetry number for each of the following molecules: b.Health insurance payments and co-pays must be proportional to income. Crop insurance to protect against the effects of summer storms. Which of the following statements correctly describe liability issues in disasters? Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet 3. B. FEMA helps States by reviewing and coordinating State emergency plans. C) Short- and long-term results of cost-containment measures are undetermined. A. B. Which of the following best describes the connection between ethics and health care financing? Many scholars consider a coup successful when the usurpers seize and hold power for at least . B) The care of the patient is carefully planned and monitored by the primary care provider. Exclusive provider organization (EPO) patients must receive care from participating providers, which can include emergency departments at participating hospitals, or they pay for all costs incurred. Which of the following statements accurately describes disaster assistance? HMO B) genetics and income. Federal agencies are usually activated directly in response to requests from local emergency managers. 2.4) Which of the following best describes the process of screening in the medical office setting? Ice dams on roofs and large icicles are uncommon causes of building collapse. C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. Which of the following statements accurately describe an aspect of managed care? Unlike traditional fee-for-service. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. The most common health plans available today often include features of managed care. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Which of the following statements correctly describes animal disease outbreaks? A risk pool is created when a number of people are grouped for insurance purposes (e.g., employees of an organization); the cost of health care coverage is determined by employees' health status, age, sex, and occupation. PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A They are intended to prevent the problem of covering members who are sicker than the general population (called adverse selection). B. plans, which reimburse providers for individual health care services rendered, managed care is financed according to a method called capitation, where providers accept preestablished payments for providing health care services to enrollees over period of time (usually one year). 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? llegar a tiempo Visibility, because only external customers should be considered. Es el medioda y t tienes hambre. This idea supports which of the following economic theories for which Rawles was a proponent? Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. (Network providers are usually reimbursed on a fee-for-service basis. 3. Which of the following is one of those responsibilities? What is the minimum number of the 900 non, highly compensated employees who must be covered by the. Which of the following statements describes cyberwarfare? As she pays her co-payment, she says "Oh dear, the doctor told me to see someone, but I can't remember what he said. Accreditation organizations develop standards (requirements) that are reviewed during a survey (evaluation) process that is conducted both offsite (e.g., managed care plan submits an initial document for review) and onsite (at the managed care plan's facilities). A. which of the following statements describes managed care? C. Only if flowing water is above your waist is it too high to cross. A) The contribution rate is fixed. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? a. Which of the following terms best describes this type of healthcare setting? of The use of an out-of-area contact can be an effective way to coordinate in disasters. c. Which of the following statements will NOT reduce risks arising from wildfires? Triple option plan. 92) Which of the following best describes vendor managed inventory? C) The nurse is considered the "gatekeeper" in the managed care system. (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? It is necessary for it to be raining to be struck by lightning. 9. Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. B. Select all that apply. Patients' needs are assessed and prioritized. [The work functions are Ta (6.811019J)\left(6.81 \times 10^{-19} \mathrm{~J}\right)(6.811019J), Ba(4.301019J)\mathrm{Ba}\left(4.30 \times 10^{-19} \mathrm{~J}\right)Ba(4.301019J), and W (7.161019J)\left(7.16 \times 10^{-19} \mathrm{~J}\right)(7.161019J); work function is explained . The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. C) Risk management is unique to the health care industry. Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. Managed care plans emphasize cost controls and preventative care. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. Which of the following statements are considerations for managed care organizations? 7. Select all that apply. Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. 8. Which of the following statements is correct regarding floods? 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? You might think of a CDHP as a sort of "401(k) plan for health care" (recalling the shift from employer defined-benefit pension plans to employer defined-contribution 401(k) plans). Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. 2.16) Twenty-five percent of urgent care patients do not have which of the following? efficient and lower cost manner. He tells the nurse, "I don't know what that word, outpatient, means." 9. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? B. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. prestar mucha atencin. 20. a. 30. Which of the following is true of long-term care facilities? High-deductible insurance policy, which reimburses allowable health care expenses after the high deductible has been paid, Health care expenses are funded by insurance coverage; the individual selects one of each type of provider to create a customized network and pays the resulting customized insurance premium. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. (a) CO2\mathrm{CO}_2CO2, (b) O3\mathrm{O}_3O3, (c) SO3\mathrm{SO}_3SO3, (d) SF6\mathrm{SF}_6SF6, and (e) Al2Cl6\mathrm{Al}_2 \mathrm{Cl}_6Al2Cl6. The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. 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. What managed care means? Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. Which of the following statements accurately describes the clinical nurse leader (CNL)? An elderly woman has total care of her husband with Alzheimer's disease. D) profession and income. Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. Tax-exempt account that is used to pay for health care expenses. PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. Which of the following statements iscorrectregarding heat stress in livestock? f. Faculty of English Commerce Ain Shams University, Ajman University of Science and Technology Ajman), BSBLDR403 Lead team effectiveness Assessment 2.docx, SELECT CURTIME SELECT CURTIME 0 HOUR time Returns the hour for time This code, 32 Extraction of data Data extraction improves strategies for incorporating, It is convenient to subdivide the receiver into two parts the demodulator and, The_Impact_of_Financial_Structure__Financial_Leverage_and_Profitability_on_Industrial_Companies_Shar, designates subordinate commanders to serve as joint functional component, Tutorial 5-Midterm RUBRIC-Feb 27[3643].pdf, existence of this power to increase sentences since legislation now provides for, 534 Consultation Status after Flare up The study also collected data on whether, private station rather than have had the glories of command If indeed such, through-the-cognitive-functions-lens-a-socio-technical-analysis.pdf, Which of the following statements about life insurance cash values is (are) true? Then, identify each adjective clause as essential (E) or nonessential (N). In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? c. 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. ayudar a los otros pasajeros B. The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! Providers are employees of the organization. II. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. The National Committee for Quality Assurance (NCQA) reviews managed care plans and develops report cards to allow health care consumers to make informed decisions when selecting a plan. es necesario el capitn hacerun anuncio Patients do not need to be well informed about the financial benefit issues that affect the provision of care. 2. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. Deontological theories It has. If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. d. 6. C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. Compute the expected value of the damages and fill in the chart below. Most employees are covered under some form of managed care plan. B) Employer contributions are deductible up to certain limits as an ordinary business expense. I. C. Practice a fire drill every month throughout the fire season. c. Individual (or Independent) practice association (IPA) an organized effort by health plans and providers to use financial incentives and organizational. Medicare established the __________ to ensure the accountability of managed care plans in terms of objective, measurable standards (requirements). The Healthcare Effectiveness Data and Information Set (HEDIS), sponsored by the National Committee for Quality Assurance, consists of performance measures used to evaluate managed care plans (e.g., rate of Pap smears performed among women of a certain age). Health maintenance organizations (HMOS) manage patient health care services by expending a monthly capitation amount paid by a third-party payer. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. 22. certificate of need programs. Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. Which of the following ethical theories of justice are based upon the rule that it is good to maximize the greatest good for the greatest number of people? Which of the following statements regarding thunderstorms is correct? 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. 13. Which of the following statements characterizes effective disaster preparedness plans? June 30, 2022 . Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. 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. Different methods of paying for health care in the United States seek to provide superior care, equality of access, and freedom of choice for all citizens, while promoting the public interest through cost-containment programs. B. D. Allowing people to smoke in barns. C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. Relate What evidence indicates that oceans formed early in Earth's geologic history? Showing State disaster declarations can only be made when more than one community is affected. 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 Most natural disasters affect local communities least of all. 4. Which of the following statements iscorrectregarding snow fall? D. A good time to check your window shutters and supply of boards, tools, batteries, nonperishable foods, bottled water, and other equipment is during a hurricane watch. 20. FEMA IS-120.C: An Introduction to Exercises Answers. I. Individual Practice Association (IPA) HMO Network Model HMO. Quality Improvement System for Managed Care (QISMC). B. The aftermath was first by the Bush administration - by George Bush's then secretary of Treasury, who had come right from Goldman Sachs, which was Hank Paulson. What is one responsibility of nurses who work in physicians' offices? The early retirement age is the earliest age at which an employee can. Select all that apply. Yo almuerzo_______ (almorzar-entender) en la cafetera. 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. A triple option plan provides patients with more choices than a traditional managed care plan. 23. This type of economic structure best describes which of the following? What type of care might the nurse suggest to give her some much-needed time of her own? The National Committee for Quality Assurance (NCQA) evaluates managed care organizations. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. Prior to scheduling elective surgery, managed care plans often require a _______; that is, a second physician is asked to evaluate the necessity of surgery and recommend the most economical, appropriate facility in which to perform the surgery (e.g., outpatient clinic doctor's office versus inpatient hospitalization). B. In contrast, traditional health insurance coverage is usually provided on a fee-for- service basis in which reimbursement increases if the health care service fees increase, if multiple units of service are provided, or if more expensive services are provided instead of less expensive ones (e.g., brand-name versus generic prescription medication). 53. immunizations and screenings included in benefits 54. 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. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? The nurse may make a referral to what member of the healthcare team? A) They actively recruit vulnerable populations. Which of the following is true? B) The care of the patient is carefully planned and monitored by the primary care provider. Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). which of the following statements describes managed care? Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. 2.9) Which of the following is an eye specialist? 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. 1 es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad Medicare and many states prohibit managed care contracts from containing_________, which prevent providers from discussing all treatment options with patients, whether or not the plan would provide reimbursement for services. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. 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). 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. Disaster advice from the USDA is provided by the Cooperative Extension Service. Doctors Without Borders do australian shepherds have a good sense of smell; matan adelson net worth; words that rhyme with crime; fattmerchant customers; shoulder holster for ruger lcrx 3 inch barrel C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. The owner of an escaped animal may be held liable for damages his/her animal creates. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? c. 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. D. All of the above. c. A. A. Which of the following is a trend to watch in healthcare delivery? Laws, rules, social conventions and norms are all examples of institutions. which of the following statements describes managed care? 2.10) Which of the following best describes how alternative health therapies are being perceived? Additional paperwork for specialists to complete and the filing of treatment and discharge plans c. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Peer review organizations (PROs). D) Risk management is a spontaneous response to an unexpected incident. Managed care plans implement _______ as a method of controlling health care costs and quality of care. A. Livestock are resistant to heat stress. In each of the given sentences, underline the subordinate clause. The term used to describe sophisticated and highly complex medical care is. A POS plan is not an HMO, but it is a managed care plan that combines the characteristics of an HMO and a preferred provider organization (PPO) (discussed below). A. Qu hacemos? A mutual fund is required to use the services of a mutual fund custodian. It aims toward lower premiums and preventive care benefits. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. B. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). B) The contribution rate is fixed, and the retirement benefit is known in advance. a. Smallville Mall's insurer knows the existence, Insurable interest may exist when Select one: a.Julia has insurance on a car she just sold, b.Wells Fargo bank lends Tien $300,000 to buy a house and buys insurance on the house, c.Anthony, a, Assume that the following probability distribution exists for automobile damages. June 29, 2022. Managed care organizations (MCOS) impact a practice's administrative procedures by requiring: Separate bookkeeping systems for each capitated plan to ensure financial viability of the contract A. Healthcare Effectiveness Data and Information Set (HEDIS). Purchasing a generator as an alternative power supply. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. plan in order for the plan to satisfy the ratio test? A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. Which of the following statements iscorrectregarding droughts? The intent was to replace conventional fee-for-service plans with more affordable quality care to health care consumers and providers who agreed to certain restrictions (e.g., patients would receive care only from providers who are members of a managed care organization). Damage from mudflows cannot be covered by insurance. 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. In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay.

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