which of the following statements describes managed care?

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 2. D.Carcassesmust be disposed of onsite. What is the primary focus of healthcare today? An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. Under the auspices of its Health Care Reform Program, established in July 1993, The Commonwealth Fund is focusing on the need to expand knowledge about managed care organizations. 1. Describe the three levels of Sumerian society. 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. Cash values are a result of the level premium method of purchasing life insurance. plans emphasize cost control, total health benefit costs continue to increase. to 23. 15. Son las diez de la noche y nosotras estamos cansadas. A. Floodwaters are frequently contaminated with hazardous chemicals. Which of the following statements accurately describe an aspect of managed care? Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. Which of the following statements about managed care are true? llegar a tiempo Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. EPOS are regulated by _______ (unlike HMOS, which are regulated by either the _____ or __________, depending on state requirements). State disaster declarations can only be made when more than one community is affected. Group Model HMO What managed care means? a. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. 8. Managed care plans also require the development of patient care plans for the coordination and provision of care for complicated cases in a cost-effective manner, which is called __________. Which of the following statements will NOT reduce risks arising from wildfires? Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. 2.14) Mrs. J. has just seen her provider. A. C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. C) Short- and long-term results of cost-containment measures are undetermined. Usually, all ambulatory services are provided within HMO corporate buildings. 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? B) The care of the patient is carefully planned and monitored by the primary care provider. a) managed care. Which of the following phrases is characteristic of case management as a method of healthcare delivery? D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. A variety of measures can be used; measures may be simple or complex; it is recommended that measures be straightforward, understandable, and valid. 2.10) Which of the following best describes how alternative health therapies are being perceived? Which of the following statements about risk management is true? D. All of the above. how has dissection been used in engineering; which of the following statements describes managed care? d. D. All of the above. 2. (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. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. Which of the following statements is correct regarding floods? 20. Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. B. Thunderstorms and their consequences are common, but rarely create problems. Institutions vary in their level of formality and informality. HMOS often require a copayment (or copay), which is a fee paid by the patient to the provider at the time health care services are rendered. B. Step-by-step explanation Direct contract model Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. True or false? It aims toward lower premiums and preventive care benefits. 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. And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. Which of the following statements accurately describes an aspect of home healthcare? 4. Continuing Healthcare Funding issues - why isn't it simple to apply? suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; D. All of the above. 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. c. Health risk assessment instruments (surveys) and resources are also available to subscribers. Which of the following statements accurately describes the clinical nurse leader (CNL)? It is the result of a joint venture between hospitals and members of their medical staff. The enrollee will have greater out-of-pocket expenses, as he must pay both a large deductible (usually $200 to $250) and 20 to 25 percent coinsurance charges, similar to those paid by persons with fee-for-service plans. . In return, individuals assume significantly higher cost-sharing expenses after the designated amount has been expended. Tax-exempt accounts that are offered by employers to any number of employees, which individuals use to pay health care bills. Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. 2.7) How many years of a residency program is required for newly graduated M.D.s choosing to specialize in family practice, internal medicine, or pediatrics? horse hind leg tendon sheath. 2.4) Which of the following best describes the process of screening in the medical office setting? 7. D. All of the above. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? A. I. 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. Fixed-price reimbursement is a feature of managed care. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Countries or subunits often also impose wealth taxes, inheritance taxes, estate taxes, gift taxes, property taxes, sales taxes, use taxes, payroll taxes, duties and/or tariffs . C) The nurse is considered the "gatekeeper" in the managed care system. Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. 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. Also write ELL above each elliptical clause. 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). The group plan will pay depending on the employee's recovery C. The group plan will not pay because the employee was injured at work D. The group plan will pay C. Which of the following ethical theories place the community, rather than the individual, the state, the nation, or any other entity, at the center of the value system? C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. What statement describes the most important function of the health record? Tax-exempt account that is used to pay for health care expenses. Hazardous materials released during floods will flow away with the water. utilization management (or utilization review). es mejor todo el mundo tomar su asiento en seguida A) There is minimal purchasing-oriented paperwork. Which of the following statements best describes an integrated delivery system? b. Premiums and other revenue are paid to the HMO. Which of the following is one of those responsibilities? Utilitarian theories A Colles fracture occurs at the: D. Small amounts of snow never have devastating effects on a community. B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. Find answers to the next exam here: FEMA IS-120.C: An Introduction to Exercises Answers. 28. a. Money deposited (and earnings) is tax-deferred, and money. B. Which of the following statements iscorrectregarding a Foreign Animal Disease outbreak? Which of the following are effective MITIGATION (reduction, prevention) activities for farms? Managed care plan enrollees receive care from a ________ selected from a list of participating providers. Exclusive provider organization (EPO) They are intended to prevent the problem of covering members who are sicker than the general population (called adverse selection). HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. Which of the following statements best describes this system? A. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. This question suggests which of the following? B. Designating access to barns and water for firefighters. Health maintenance organization (HMO) a. 2.12) Which of the following does not apply to the role of a medical assistant? Which of the following statements iscorrectregarding the disposal ofcarcasses? Cyberwarfare is an attack carried out by a group of script kiddies Cyberwarfare is simulation software for Air Force pilots that allows them to practice under a simulated war scenario Cyberwarfare is a series of personal protective equipment developed for soldiers involved in nuclear war The term used to describe sophisticated and highly complex medical care is. C. New animal arrivals to a farm should be placed in quarantine until a suitable time has lapsed to rule out the introduction ofcontagious disease. Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. 5) Which of the following statements describes a defined. external quality review organization (EQRO). Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. Correctly identify disorders of the wrist. 53. immunizations and screenings included in benefits 54. 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? 4. A coup d'tat (/ k u d e t / (); French for 'stroke of state'), also known as a coup or an overthrow, is a seizure and removal of a government and its powers. 2.16) Twenty-five percent of urgent care patients do not have which of the following? A. D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. 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 NOT relevant to the care of animals in floods? State disaster declarations can only be made when more than one community is affected. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. The owner of an escaped animal may be held liable for damages his/her animal creates. Which of the following statements iscorrectregarding snow fall? Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. B) The contribution rate is fixed, and the retirement benefit is known in advance. Course Hero is not sponsored or endorsed by any college or university. d. It is a system that is based on patient and provider autonomy. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. Which of the following statements accurately describe an aspect of managed care? A. Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). Most managed care financing is achieved through a method called capitation, and enrollees are assigned to or select a primary care provider who serves as the patient's gatekeeper. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report Which of the following is a characteristic of primary healthcare? certificate of need programs. A patient has a private insurance policy that pays for most healthcare costs and services. C) education and income. 1 Choose the correct description or cause of pharyngitis. 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. A) They actively recruit vulnerable populations. Unlike traditional fee-for-service. c. Which of the following statements accurately describe an aspect of managed care? Cambodia Crime. In the following sentences, circle each incorrectly used lowercase letter. What is one responsibility of nurses who work in physicians' offices? Even though smoke residues can be harmful to livestock, if livestock have been exposed to smoke residues they can be used for human consumption without concern. C) The nurse is considered the gatekeeper in the managed care system. Each line when completed, should have three words similar in meaning. 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. 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. Which of the following terms best describes this type of healthcare setting? E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. b. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. Consumer-Directed Health Plans include the following tiers: Tax-exempt account, which is used to pay for health care expenses and provides more flexibility than traditional managed care plans in terms of access to providers and services A. Which of the following statements are considerations for managed care organizations? 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). Compute the expected value of the damages and fill in the chart below. efficient and lower cost manner. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. 2.13) Which of the following best describes the purpose of managed care? When disasters affect many livestock farms in a county it is unlikely that this will represent a significant loss to the countys tax base. Never tie an animal up if floods are pending. A triple option plan provides patients with more choices than a traditional managed care plan. a. information disclosure regulation b. establishing minimum standards and monitoring compliance, The Smallville Mall has assumed the responsibility for payment of liability losses caused by Chuck's Famous Pizza to attract the pizza chain to the mall. 26. Annual physical examinations are encouraged for the early detection of health problems. The local Department ofAnimal Controlis the legal entity in most communities to deal with abandoned and lost animals. b. 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. In outbreaks reported from acute care settings in the U.S. following implementation of unive. How would the nurse respond? d. distals carpals, Use the integral test to find whether the following series converge or diverge. The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! Which one of the following statements best describes the family caregiver burdens of providing home care ? June 30, 2022 . 2.19) Who best knows the patient's body and financial situation? 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). a. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. B. FEMA helps States by reviewing and coordinating State emergency plans. B. e. Staff model Spreading livestock operations out among several states is effective mitigation against weather-related disasters. E) The managed care system may required approval for specialty care. F) Competition among hospitals has further fueled the increase in health costs. Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. D. All of the above. Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. 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). c. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. c. A. A managed care organization (MCO) is responsible for the health of its enrollees, which can be administered by the MCO that serves as a health plan or contracts with a hospital, physician group, or health system. A. Peer review organizations (PROs). B. Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. In each of the given sentences, underline the subordinate clause. A) The contribution rate is. The IPA is an intermediary (e.g., physician association) that negotiates the HMO contract and receives and manages the capitation payment from the HMO, so that physicians are paid on either a fee-for-service or capitation basis. include payments made directly or indirectly to health care providers to encourage them to reduce or limit services (e.g., discharge an inpatient from the hospital more quickly) so as to save money for the managed care plan. 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. C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. a. The early retirement age is the earliest age at which an employee can. What type of insurance is most likely involved? is a private, not-for-profit organization that assesses the quality of managed care plans in the United States and releases the data to the public for consideration when selecting a managed care plan. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. B) Payment for services is integrated with delivery of services. Participants enroll in a relatively inexpensive high- deductible insurance plan, and a tax-deductible savings account is opened to cover current and future medical expenses. b. distal radius It is also called a cafeteria plan (or flexible benefit plan) because of the different benefit plans and extra coverage options provided through the insurer or third-party administrator. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. a. Which of the following is a natural consequence of utilitarian forms of health care financing? Qu haces t? The financing of America's health care system has changed the way health care services are organized and delivered, as evidenced by a movement from traditional fee-for-service systems to managed care networks. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. 25. Juan trabaja de asistente de vuelo y habla con los pasajeros. What type of agency is this? Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice which of the following statements describes managed care? A. e. Which of the following statements describes cyberwarfare? Select all that apply. Which of the following statements accurately describes the activation of federal agencies in disasters? C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. retire without receiving actuarially reduced benefits. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" A mutual fund is required to use the services of a mutual fund custodian. which of the following statements describes managed care? Proper watershed, forest, and rangeland management is effective mitigation against droughts. [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. C. Emergency loans from the USDA in disasters are managed by the Farm Service Agency. EJEMPLO: Es probable que nosotros evitemos una tempestad. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. Managed care plans are a type of health insurance. Out-of-pocket payments for health care expenses, which are made after the tax-exempt account is expended and before the deductible for high-deductible insurance has been met; this tier actually represents a gap in coverage B. Composting is no longer used to dispose of any livestockcarcasses. C. Disasters are declared starting at the local, then state, then federal level. 26. b. Personal preparedness is rarely effective at minimizing losses from disasters. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. [Solved] Which of the following statements describes managed care organizations? PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. Which of the following statements best describes an integrated delivery system? C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Which of the following statements iscorrectregarding hurricanes? 3. Examples of health care cost containment in the 1980s included: 2. (Network providers are usually reimbursed on a fee-for-service basis. Which of the following correctly describes the role of the USDA in disasters? D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. What is the confusion that might arise concerning her treatment and care is a problem known as? 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). Per the PPACA, employees are permitted to carry over up to $500 of unspent funds remaining in the FSA at the end of the year. Disaster advice from the USDA is provided by the Cooperative Extension Service. These organizations must take care to use their resources in support of a charitable purpose.Start a Nonprofit Organization in Ohio 3 Pursuant to Ohio Revised Code Section 1745.51, if a statement of an unincorporated nonprofit association is on file with the Secretary of State, then upon adopting a voluntary resolution of dissolution, a copy of . The group plan will pay a portion of the employee's expenses B. B) The care of the patient is carefully planned and monitored by the primary care provider. D) Historically, payment for healthcare services encouraged the use of expensive services. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. plan in order for the plan to satisfy the ratio test? Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. Which of the following statements arecorrectregarding injuries and damages that result from earthquakes? b.Health insurance payments and co-pays must be proportional to income. C) Reimbursement is usually based on fee-for-service. The use of remedies made from naturally occurring plant, animal, or mineral substances. 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. B) The supplier maintains the inventory for the buyer. B. 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 is a trend to watch in healthcare delivery? Additional paperwork for specialists to complete and the filing of treatment and discharge plans 1. Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. A) Managed care systems control the cost of care with a lower quality of care. 2.9) Which of the following is an eye specialist? If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). B. Relationships are not critical in the delivery of health services. D. The USDA responds to disasters that threaten national food production, processing and distribution. an organized effort by health plans and providers to use financial incentives and organizational. The _______ serves as a gatekeeper by providing essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. Nurses who are employed in home care have a variety of responsibilities.

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