which of the following statements describes managed care?

The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? F) Planning and monitoring are conducted to ensure standards are followed. follow in the model. prestar mucha atencin. The group plan will pay a portion of the employee's expenses B. B) Employer contributions are deductible up to certain limits as an ordinary business expense. e. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. 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. 3. 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. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. QUESTION 1 Medicaid plans face several operational challenges, A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. HMO PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. In each of the given sentences, underline the subordinate clause. This question suggests which of the following? Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. all of the above. A. Who would be most likely to teach the classes? (The catastrophic limit is usually higher than those common in other plans.) B) Risk management is concerned with reducing exposure to legal liability. Managed care plan enrollees receive care from a ________ selected from a list of participating providers. Which of the following statements iscorrectregarding the human food supply in disasters? c.Health insurance must be This problem has been solved! Direct contract model Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. If enrollees choose to receive all medical care from the managed network of health care providers, or obtain an authorization from their POS primary care provider for specialty care with an out-of-network provider, they pay only the regular copayment or a small charge for the visit and they pay no deductible or coinsurance costs. d. single payer systems. universal health insurance. d. which of the following statements describes managed care? B. (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? Qu haces t? A. Which of the following phrases is characteristic of case management as a method of healthcare delivery? Spreading livestock operations out among several states is effective mitigation against weather-related disasters. Patients should be well informed about care and treatment options. Which of the following statements would be most appropriate for the nurse to make? II. Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. a. 3. b. Definition. c. Which of the following statements iscorrectregarding droughts? d. Select all that apply. 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. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. Which of the following statements describe effective operations in disasters? 2.9) Which of the following is an eye specialist? Doctors Without Borders is a physician or health care facility under contract to the managed care plan. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. D. Small amounts of snow never have devastating effects on a community. B. Deontological theories Communitarian theories. 24. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? Which of the following statements arecorrectregarding injuries and damages that result from earthquakes? which of the following statements describes managed care? Employees contribute funds to the FSA through a salary reduction agreement and withdraw funds to pay medical bills. This type of economic structure best describes which of the following? 16. Responsible for reviewing health care provided by managed care organizations. 2.14) Mrs. J. has just seen her provider. 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. U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. A) The contribution rate is fixed. Utilitarian theories E) The managed care system may required approval for specialty care. 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. Select all that apply. C) The nurse is considered the gatekeeper in the managed care system. horse hind leg tendon sheath. Chapter08-HealthcareDeliverySystems - 1. Which of the following A mutual fund is required to use the services of a mutual fund custodian. A. Quality Improvement System for Managed Care (QISMC). A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. 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. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. 28. A grade school is preparing a series of classes on the dangers of smoking. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. an organized effort by health plans and providers to use financial incentives and organizational. 19. Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. 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 Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. C) education and income. Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. Which of the following is true of long-term care facilities? C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. . The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. I. Damage from mudflows cannot be covered by insurance. What statement describes the most important function of the health record? Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. a. 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 . 92) Which of the following best describes vendor managed inventory? 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. C) education and income. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. 51 which of the following statements about managed - Course Hero Study Resources. Which of the following statements is correct regarding floods? 51) Which of the following statements about managed care plans is (are) true? Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? D. The USDA responds to disasters that threaten national food production, processing and distribution. 4. It is necessary for it to be raining to be struck by lightning. True: Name 3 of the primary purposes of the health record. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. Which of the following statements about risk management is true? 27. A. D) Risk management is a spontaneous response to an unexpected incident. Costs from animal disease outbreaks include loss of production andreplacementof animals. B. Thunderstorms and their consequences are common, but rarely create problems. National Committee for Quality Assurance (NCQA). a. 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. 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. 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. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). (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 Incident Command System provides a consistent method to respond to all types of emergencies. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. d. distals carpals, Use the integral test to find whether the following series converge or diverge. HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. What is one responsibility of nurses who work in physicians' offices? Documentation of ownership may be needed to reclaim a lost animal. Health maintenance organizations (HMOS) manage patient health care services by expending a monthly capitation amount paid by a third-party payer. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Which of the following statements accurately describe an aspect of managed care? a. proximal radius A) The contribution rate isfixed, but the retirement benefit is not known in advance. A) They actively recruit vulnerable populations. B. In the following sentences, circle each incorrectly used lowercase letter. Escriba lo que dice. A) The U.S. healthcare system has been experiencing a financial crisis. e. The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. 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. which of the following statements describes managed care? Which of the following terms best describes this type of healthcare setting? Storing patient care information: All of the primary purposes of the health record are associated directly with the provision of patient care services. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . 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. Disaster advice from the USDA is provided by the Cooperative Extension Service. [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 . A. 2. Point-of-service plan (POS) 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. F) Competition among hospitals has further fueled the increase in health costs. What type of agency is this? Patients' needs are assessed and prioritized. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? A triple option plan provides patients with more choices than a traditional managed care plan. Which of the following is a trend to watch in healthcare delivery? Which of the following statements about managed care are true? results. Patients' needs are assessed and prioritized. d. 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) The supplier maintains the inventory for the buyer. A. 20. Up-to-date lists of special administrative procedures required by each managed care plan contract Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. A. A. Disasters can be a threat to animal well-being. 6. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Which of the following statements about managed funds is NOT correct? B. A. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. Describe the three levels of Sumerian society. Managed care plans are a type of health insurance. Health care services are provided to subscribers by physicians employed by the HMO. Institution - Wikipedia Under extreme heat conditions, livestock require less than 10%body weightof water per day. c. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Healthcare Effectiveness Data and Information Set (HEDIS). Solved Which statement best describes the author's view of | Chegg.com A) Managed care systems control the cost of care with a lower quality of care. C) The contribution rate is, variable, and the retirement benefit is not known in advance. A. Which of the following statements accurately describes the clinical nurse leader (CNL)? 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. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). The use of an out-of-area contact can be an effective way to coordinate in disasters. Which of the following statements correctly describes animal disease outbreaks? A. D. All of the above. Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). Also write ELL above each elliptical clause. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. e. Crop insurance to protect against the effects of summer storms. Relationships are not critical in the delivery of health services. Discontinued Capitation, adopted fee-for-service. C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. 2.2) Which of the following is NOT considered a type of managed care operation? 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? 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. D. All of the above. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. 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. 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 Which of the following best describes vendor managed - Course Hero In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? Select one: O a. Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. 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. ICT also includes analog technology, such as paper communication, and . These are designed to manage . C. Emergency managers are responsible for finding the owners of all lost animals. yo poner sus cosas debajo del asiento fee-for-service. D. Animals will frequently resist walking through flowing water. He tells the nurse, "I don't know what that word, outpatient, means." The nurse may make a referral to what member of the healthcare team? B. Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. Never tie an animal up if floods are pending. B. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. e. B. 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 statements describes managed care? which of the following statements describes managed care? withdrawn to cover qualified medical expenses is tax-free. Which one of the following statements best describes the family caregiver burdens of providing home care ? Marcos and his horse will lead the tyler fourth of july parade. Additional paperwork for specialists to complete and the filing of treatment and discharge plans Select all that apply. D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. In outbreaks reported from acute care settings in the U.S. following implementation of unive. B. FEMA helps States by reviewing and coordinating State emergency plans.

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