which of the following statements describes managed care?

C. Practice a fire drill every month throughout the fire season. A) The contribution rate is fixed. A. Disasters can be a threat to animal well-being. Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? A) The insurance company pays all or most of the costs. 15. The Incident Command System provides a consistent method to respond to all types of emergencies. Select all that apply. When disasters affect many livestock farms in a county it is unlikely that this will represent a significant loss to the countys tax base. Which of the following statements about the history of home healthcare nursing is most accurate? Which of the following statements best describes an integrated delivery system? yo poner sus cosas debajo del asiento 6. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? D) profession and income. Select one: O a. B. Describe the three levels of Sumerian society. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . D. Landslides rarely affect agricultural property. Which of the following statements iscorrectregarding the disposal ofcarcasses? 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. Health care services are provided to subscribers by physicians employed by the HMO. Select all that apply. 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). 1) All of the following statements about tax implications of qualified pension plans are correct EXCEPT, A) Investment earnings on plan assets accumulate on a tax. retire without receiving actuarially reduced benefits. Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. B. d. single payer systems. perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; A. is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. es necesario el capitn hacerun anuncio (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. A. What is the confusion that might arise concerning her treatment and care is a problem known as? Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations. Hazardous materials released during floods will flow away with the water. 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. B) The care of the patient is carefully planned and monitored by the primary care provider. Triple option plan. 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. OPEN-PANEL HMO, Direct Contract Model. D. Large-scale disasters affecting livestock never have serious implications for State revenues. managed care. 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. The traditional health care system in the United States is: In each of the given sentences, underline the subordinate clause. e. B. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. A) The contribution rate isfixed, but the retirement benefit is not known in advance. D. Floods are an uncommon cause of natural disaster in the United States. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. e. Which of the following statements accurately describes disaster assistance? d. A) the healthcare institution itself C) American Medical Association B) Board of Healing Arts D) State Board of Nursing, 14. This question suggests which of the following? B) The supplier maintains the inventory for the buyer. c. 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) Reimbursement is usually based on fee-for-service. A) They actively recruit vulnerable populations. Group model Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? Documentation of ownership may be needed to reclaim a lost animal. Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. a. Then, identify each adjective clause as essential (E) or nonessential (N). All of the highly compensated employees are covered by the, plan. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. HSA stands for health savings account, and HSA-qualified plans can be HMOs, PPOs, EPOs, or POS plans. Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? D. Small amounts of snow never have devastating effects on a community. Local plans allow communities to integrate with state and federal response to disasters. Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. B. Which one of the following statements best describes the family caregiver burdens of providing home care ? 19. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. b. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. D. Animals will frequently resist walking through flowing water. 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. d. Explain whether or not scientific methods are sets of procedures that scientists follow. 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. A. c. Individual (or Independent) practice association (IPA) which of the following statements describes managed care? All parties should foster an ethical environment for the delivery of effective and efficient quality health care. Individual Practice Association (IPA) HMO Network Model HMO. It attempts to control costs by modifying the behavior of providers and patients. efficient and lower cost manner. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. A. 25. The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. 24 b. distal radius B) The care of the patient is carefully planned and monitored by the primary care provider. llegar a tiempo 11. 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. 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. 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. Group Model HMO 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? I. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. c. Costs from animal disease outbreaks include loss of production andreplacementof animals. C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. 2.11) Concierge care does not offer patients which of the following? Responsible for reviewing health care provided by managed care organizations. What type of care might the nurse suggest to give her some much-needed time of her own? 2. June 29, 2022. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. is a nonprofit organization that contracts with and acquires the clinical and business assets of physician practices; the _____ is assigned a provider number and manages the practice's business. A. Which of the following statements accurately describe an aspect of managed care? B) The care of the patient is carefully planned and monitored by the primary care provider. gilead sciences canada jobs. Health care is provided in an HMO-owned center or satellite clinic or by physicians who belong to a specially formed medical group that serves the HMO. Which of the following describes one of the elements that the nurse practitioner has successfully met? 2. POS enrollees who receive care from out-of-network providers pay higher deductible and coinsurance amounts. Juan trabaja de asistente de vuelo y habla con los pasajeros. Quality Compass users benefit from the largest database of comparative health plan performance information to conduct competitor analysis, examine quality improvement and benchmark plan performance. Cambodia Crime. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). Additional paperwork for specialists to complete and the filing of treatment and discharge plans C. Only if flowing water is above your waist is it too high to cross. Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. 5) Which of the following statements describes a defined. e. Visibility, because only external customers should be considered. Utilitarian theories The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. In return, individuals assume significantly higher cost-sharing expenses after the designated amount has been expended. 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). In outbreaks reported from acute care settings in the U.S. following implementation of unive. You ask her the reason for seeing her provider. View the full answer. Most employees are covered under some form of managed care plan. 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). D. All of the above. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. a and b only. 2.1) Which of the following best describes the form of medical practice management in which the provider's personal property is attached and may be sold if the business fails? horse hind leg tendon sheath. Correctly identify disorders of the wrist. A) The U.S. healthcare system has been experiencing a financial crisis. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Consumer-directed health plans (CDHPS) provide incentives for controlling health care expenses and give individuals an alternative to traditional health insurance and managed care coverage. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. It is attentive to the needs of the membership group and individual patients. Communitarian theories. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. 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. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. Which of the following statements iscorrectregarding snow fall? 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. To create flexibility in managed care plans, some HMOS and preferred provider organizations have implemented a _______, under which patients have freedom to use the managed care panel of providers or to self-refer to out-of-network providers. 20. B. Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. These range from structured staff model HMOS to less structured preferred provider organizations (PPOS). The only loss in disasters is to affected farms. to The administration of managed care includes: is responsible for the health of a group of enrollees and can be a health plan, hospital, physician group, or health system. Then, identify the type of clause by writing one of the following abbreviations above it: ADJ for adjective clause, ADV for adverb clause, or N for noun clause. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. 53. immunizations and screenings included in benefits 54. Which of the following statements would be most appropriate for the nurse to make? 8. Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. B) The care of the patient is carefully planned and monitored by the primary care provider. results. A) those requiring care to improve health B) children with chronic illnesses C) dying persons and their loved ones D) older adults requiring long-term care, 13. Who provides physicians with the authority to admit and provide care to patients requiring hospitalization? Which of the following statements is correct regarding floods? HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. 16. (The catastrophic limit is usually higher than those common in other plans.) Which of the following statements accurately describe an aspect of managed care? B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. (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. Cash values are a result of the level premium method of purchasing life insurance. D. All of the above. June 30, 2022 . 2. Health risk assessment instruments (surveys) and resources are also available to subscribers. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. 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. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. 7. 10. c. Tax-exempt accounts that are offered by employers to any number of employees, which individuals use to pay health care bills. a. B. C. Emergency managers are responsible for finding the owners of all lost animals. 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. fee-for-service. which of the following statements describes managed care? 19. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. Accreditation of Managed Care Organizations. D. Heat stress in animals only occurs under conditions of extreme heat. 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. Which of the following statements accurately describe an aspect of managed care? Health plans also use HEDIS results themselves to see where they need to focus their improvement efforts. 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. Health care can be purchased or given freely in Country A, but there is no entitlement program to ensure basic health care to vulnerable people. II. Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). 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. A. 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). State disaster declarations can only be made when more than one community is affected. (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. The owner of an escaped animal may be held liable for damages his/her animal creates. C) education and income. es posible nosotros permanecer sentado(s) Employees contribute funds to the FSA through a salary reduction agreement and withdraw funds to pay medical bills. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. 2.13) Which of the following best describes the purpose of managed care? Quality Improvement System for Managed Care (QISMC). Proper watershed, forest, and rangeland management is effective mitigation against droughts. D. All of the above. B. Son las diez de la noche y nosotras estamos cansadas. Managed care is categorized according to six models: exclusive provider organizations, integrated delivery systems, health maintenance organizations, point-of-service plans, preferred provider organizations, and triple option plans. 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. Health maintenance organization (HMO) II. b. CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. of B. a payment system based on Diagnosis related groups (DRGs). Which of the following is true? 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. Tax-exempt account that is used to pay for health care expenses. A ) . certificate of need programs. (B) Give the symmetry number for each of the following molecules: Which of the following is a characteristic of primary healthcare? 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. B) genetics and income. e. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. Select all that apply. Qu hacemos? Which of the following is NOT relevant to the care of animals in floods? 9. D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? B) epidemiology. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. (A) Give the symmetry number for each of the following molecules: What type of insurance is most likely involved? A patient who requires treatment for breast cancer is referred to an oncologist. Discontinued Capitation, adopted fee-for-service. 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. 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. 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). 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. Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. Which of the following statements about the nursing process is true. This type of economic structure best describes which of the following? 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 . B. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. which of the following statements describes managed care? U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. 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. 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? A man is scheduled for hospital outpatient surgery. Select all that apply. The group plan will pay a portion of the employee's expenses B. Answer: Which of the following are effective MITIGATION (reduction, prevention) activities for farms? B. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad external quality review organization (EQRO). They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. Specialty Pharmacy J. Industry/Manufacturing. prestar mucha atencin. A grade school is preparing a series of classes on the dangers of smoking. True: Name 3 of the primary purposes of the health record.

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