which of the following statements describes managed care?
2.18) In 2007, how much of the world's population relied on alternative medicine? C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. 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. a. 2.14) Mrs. J. has just seen her provider. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. This type of economic structure best describes which of the following? B. Designating access to barns and water for firefighters. D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. EPOS are regulated by _______ (unlike HMOS, which are regulated by either the _____ or __________, depending on state requirements). Purchasing a generator as an alternative power supply. EJEMPLO: Es probable que nosotros evitemos una tempestad. 2. d. results. C) The patient gets the bill and pays out-of-pocket costs. D. All of the above. A. utilization management (or utilization review). Which of the following is a natural consequence of utilitarian forms of health care financing? Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. 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. D. All of the above. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? Select one: O a. How would the nurse respond? The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. These include provider networks, provider oversight, prescription drug tiers, and more. a. All of the highly compensated employees are covered by the, plan. Which of the following statements best describes this system? Which of the following statements is correct regarding disasters? C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. c. What managed care means? which of the following statements describes managed 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 D.Carcassesmust be disposed of onsite. In Canada, almost all people are insured against the cost of all hospital and physician expenses through a government health insurance program. Most employees are covered under some form of managed care plan. B. 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. Federal legislation mandated that MCOS participate in quality assurance programs and other activities, including utilization management, case management, requirements for second surgical opinions, non-use of gag clauses in MCO contracts, and disclosure of any physician incentives. D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. 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. What is the pressu re at the bottom of the water layer? external quality review organization (EQRO). The economics of Country A support the rights of property and liberty for each person and allow each citizen to improve life circumstances by his or her own effort. June 29, 2022. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. A. precertification. (A) Give the symmetry number for each of the following molecules: HSA stands for health savings account, and HSA-qualified plans can be HMOs, PPOs, EPOs, or POS plans. Which of the following is NOT relevant to the care of animals in floods? Deontological theories A. D) Risk management is a spontaneous response to an unexpected incident. a) managed care. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. A. D. All of the above. how has dissection been used in engineering; which of the following statements describes managed care? A grade school is preparing a series of classes on the dangers of smoking. Health maintenance organization (HMO) Definition. The term used to describe sophisticated and highly complex medical care is. B. C) education and income. Documentation of ownership may be needed to reclaim a lost animal. [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 use of an out-of-area contact can be an effective way to coordinate in disasters. 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? b. e. 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? Which of the following statements about managed funds is NOT correct? ICT is an umbrella term that includes any communication device, encompassing radio, television, cell phones, computer and network hardware, satellite systems and so on, as well as the various services and appliances with them such as video conferencing and distance learning. withdrawn to cover qualified medical expenses is tax-free. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. Which of the following statements iscorrectregarding hurricanes? is owned by hospital(s) and physician groups that obtain managed care plan contracts; physicians maintain their own practices and provide health care services to plan members. The owner of an escaped animal may be held liable for damages his/her animal creates. A ) . A. 3. 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. Providers are employees of the organization. e. Staff model A. C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. C. Emergency managers are responsible for finding the owners of all lost animals. 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. 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). The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). The use of remedies made from naturally occurring plant, animal, or mineral substances. D. Small amounts of snow never have devastating effects on a community. retire without receiving actuarially reduced benefits. And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. 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. is a physician or health care facility under contract to the managed care plan. Fixed-price reimbursement is a feature of managed care. Which of the following phrases best describes hospitals today? which of the following statements describes managed care? 17. Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. Included in HEDIS is the________, which measures members' satisfaction with their care in areas such as claims processing, customer service, and getting needed care quickly. Select all that apply. Patients' needs are assessed and prioritized. Professional standards review organizations (PSROs). D. All of the above. utilization review organization (URO), third-party administrator (TPA). II. After a stroke, a patient is having difficulty swallowing. Which of the following statements describes appropriate procedures for dealing withanimal health/disease? C. Only if flowing water is above your waist is it too high to cross. f. A. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). 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. 4. 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) Risk management is concerned with reducing exposure to legal liability. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. c. Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. Select all that apply. llegar a tiempo 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . 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? Additional paperwork for specialists to complete and the filing of treatment and discharge plans All parties should foster an ethical environment for the delivery of effective and efficient quality health care. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. 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. It lowers cost through the elimination of waste and excess. B. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. Explain whether or not scientific methods are sets of procedures that scientists follow. 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. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? gilead sciences canada jobs. 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). 1. 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. Freedom from a Foreign Animal Disease in a country (such as Foot and Mouth Disease) usually includes being free of clinical disease and vaccinating against the disease. 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). Communitarian theories. plan in order for the plan to satisfy the ratio test? A mutual fund is required to use the services of a mutual fund custodian. Costs from animal disease outbreaks include loss of production andreplacementof animals. 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. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. 51) Which of the following statements about managed care plans is (are) true? Continuing Healthcare Funding issues - why isn't it simple to apply? 17. 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. Who would be most likely to teach the classes? All definitions of institutions generally entail that there is a level of persistence and continuity. Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. 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 Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. 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. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? Which of the following statements is correct about the behavior of landslides? Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. The US is the only developed nation without a system of universal healthcare, with a large proportion of its population not carrying health insurance, a . managed care. Managed care plan enrollees receive care from a ________ selected from a list of participating providers. A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. e. The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! 2.4) Which of the following best describes the process of screening in the medical office setting? C. Reducing personal water usage helps reduce the impact of droughts. True: Name 3 of the primary purposes of the health record. 11. Medicare established the __________ to ensure the accountability of managed care plans in terms of objective, measurable standards (requirements). d. B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. 19694 trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. 30. all of the above. Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. Also write ELL above each elliptical clause. Marcos and his horse will lead the tyler fourth of july parade. F) Competition among hospitals has further fueled the increase in health costs. A) The U.S. healthcare system has been experiencing a financial crisis. 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? Which of the following statements accurately describe an aspect of managed care? 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. A. A) Managed care systems control the cost of care with a lower quality of care. Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). Each line when completed, should have three words similar in meaning. 10. B) The care of the patient is carefully planned and monitored by the primary care provider. B) genetics and income. A. Yet, segments of the health care system maintain aspects of a free-market competition. B) The family of the patient is required to pay costs. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? E) The managed care system may required approval for specialty care. Which of the following statements best describes an integrated delivery system? B. an organized effort by health plans and providers to use financial incentives and organizational. D. All of the above. D) Hospitals are the preferred setting for service delivery. C) The nurse is considered the gatekeeper in the managed care system. What is the primary focus of healthcare today? b. distal radius 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. Nurses who are employed in home care have a variety of responsibilities. D. All of the above. Crop insurance to protect against the effects of summer storms. d. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. es importante los pasajeros seguir las instrucciones de seguridad 23. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. C. Practice a fire drill every month throughout the fire season. If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). The group plan will pay a portion of the employee's expenses B. [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) Risk management is unique to the health care industry. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. a. D. All of the above. Which of the following statements characterizes effective disaster preparedness plans? 19. B. 2.11) Concierge care does not offer patients which of the following? 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. PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. D. All of the above. b. 14. A. B) The contribution rate is fixed, and the retirement benefit is known in advance. Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. 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. Exclusive provider organization (EPO) Which of the following statements describes cyberwarfare? Which of the following statements arecorrectregarding injuries and damages that result from earthquakes? 25. Group model a. 53. immunizations and screenings included in benefits 54. (B) Give the symmetry number for each of the following molecules: 8. B. A. 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. horse hind leg tendon sheath. A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. 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. A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. 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. b. I. Answer the following questions about these Canadian artists. 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. The NCQA began accrediting managed care programs in 1991 when a need for consistent, independent information about the quality of care provided to patients was originally identified. 15. 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 accurately describe an aspect of managed care? d. distals carpals, Use the integral test to find whether the following series converge or diverge. Which of the following statements accurately describes disaster assistance? It lowers cost through the elimination of waste and excess. The marketing department is launching a new advertising campaign. 13. B. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. Describe the three levels of Sumerian society. Specialty Pharmacy J. Industry/Manufacturing. View the full answer. D. All of the above. 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. 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. proximal radius 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 . II. A man is scheduled for hospital outpatient surgery. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Which of the following describes one of the elements that the nurse practitioner has successfully met? B) Payment for services is integrated with delivery of services. universal health insurance. A. Under extreme heat conditions, livestock require less than 10%body weightof water per day. 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. ICT also includes analog technology, such as paper communication, and . Which of the following statements accurately describes the clinical nurse leader (CNL)? D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. OPEN-PANEL HMO, Direct Contract Model. B. Thunderstorms and their consequences are common, but rarely create problems. Doctors Without Borders B. U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. A person receiving healthcare insurance from his employer knows that he should check the approved list of contracted healthcare providers before seeking services in order to receive them at a lower cost. A. Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. C. Volunteer organizations are the only source of disaster assistance at the locallevel. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? 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. Responsible for reviewing health care provided by managed care organizations. A home healthcare agency providing care in a local community is supported by the United Way and local donations. C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. D. Landslides rarely affect agricultural property. a and b only. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. san quentin death row inmates list 2021, sam horowitz capital realty group,