which of the following statements describes managed care?

A) primary care B) respite care C) bereavement care D) palliative care, 12. Which of the following statements is correct regarding the identification of animals in disasters? Which of the following statements accurately describes disaster assistance? Which of the following statements about risk management is true? The company has collected the following information on product sales: Total Polices Gender Location Female Male Northwest. 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). Which of the following statements describe effective operations in disasters? Proper watershed, forest, and rangeland management is effective mitigation against droughts. 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. (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. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. D. The USDA responds to disasters that threaten national food production, processing and distribution. es posible nosotros permanecer sentado(s) Integrated delivery system (IDS) 5. Which of the following statements would be most appropriate for the nurse to make? 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). For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. B) The care of the patient is carefully planned and monitored by the primary care provider. A Colles fracture occurs at the: B. If the enrollee sees a non-managed care panel specialist without a referral from the primary care physician, this is known as a self-referral. 3. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. 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 . 2.19) Who best knows the patient's body and financial situation? Managed care plans are a type of health insurance. b. a condition in which the nasal septum strays from the midline of the nasal cavity, c. a chronic bacillus infection that usually affects the lung and is caused by a mycobacterium, d. an inflammation of the mucous lining of the larynx, e. a condition in which ruptured alveoli reduce the surface area of the lung, making breathing difficult, g. an obstructive disorder characterized by recurring spasms of the smooth muscles of the bronchi, i. an inflammation or infection of the pharynx, j. a disease characterized by a lack of surfactant in the alveoli; usually occurs in premature infants. 15. 4. 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 are considerations for managed care organizations? 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. 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. Select all that apply. The National Committee for Quality Assurance (NCQA) reviews managed care plans and develops report cards to allow health care consumers to make informed decisions when selecting a plan. . The term "managed care" is used to describe a type of health care focused on helping to reduce costs, while keeping quality of care high. 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. B. 4. Libertarian theories Health care services are provided to subscribers by physicians employed by the HMO. 92) Which of the following best describes vendor managed inventory? Money deposited (and earnings) is tax-deferred, and money. Tax-exempt accounts that are offered by employers to any number of employees, which individuals use to pay health care bills. Most human injuries in earthquakes result from falling objects. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? B. C. Reducing personal water usage helps reduce the impact of droughts. In each of the given sentences, underline the subordinate clause. After a stroke, a patient is having difficulty swallowing. D. Heat stress in animals only occurs under conditions of extreme heat. 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. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. 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 . Which of the following statements describes cyberwarfare? In outbreaks reported from acute care settings in the U.S. following implementation of unive. F) Planning and monitoring are conducted to ensure standards are followed. "Don't drop out of school." b. e. utilization management (or utilization review). B. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). Exclusive provider organization (EPO) POS enrollees pay less if they use the plan's in-network providers. B) The contribution rate is fixed, and the retirement benefit is known in advance. B. Thunderstorms and their consequences are common, but rarely create problems. 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. What is one responsibility of nurses who work in physicians' offices? Additional paperwork for specialists to complete and the filing of treatment and discharge plans Managed care plans emphasize cost controls and preventative care. The Incident Command System provides a consistent method to respond to all types of emergencies. Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. (Network providers are usually reimbursed on a fee-for-service basis. 2.12) Which of the following does not apply to the role of a medical assistant? They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. D) Medicare and Medicaid will pay most of the costs. The use of remedies made from naturally occurring plant, animal, or mineral substances. Tax-exempt account that is used to pay for health care expenses. Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. What is the minimum number of the 900 non, highly compensated employees who must be covered by the. C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. A. If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. Disaster advice from the USDA is provided by the Cooperative Extension Service. c.Health insurance must be This problem has been solved! 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. llegar a tiempo B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. Patients should be well informed about care and treatment options. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Having fire tools handy at your home and in your barn: a ladder, garden hoses, fire extinguishers, gas-operated water pumps, shovels, rakes, and buckets. In the following sentences, circle each incorrectly used lowercase letter. Select all that apply. A "health care system which attempts clinically and financially to control primary health care services in a medical group practice through elimination of redundant facilities and services for the purpose of reducing costs" describes which of the following health care financing systems? 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. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. d. Usually, all ambulatory services are provided within HMO corporate buildings. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? 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. 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. Staff Model HMO B) The care of the patient is carefully planned and monitored by the primary care provider. B. Composting is no longer used to dispose of any livestockcarcasses. 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. 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. D. Small amounts of snow never have devastating effects on a community. 29. Then, identify each adjective clause as essential (E) or nonessential (N). A triple option plan provides patients with more choices than a traditional managed care plan. A. Livestock agriculture is more widely dispersed than ever before. Provide quality health care while containing costs. Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations. B. 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. Professional standards review organizations (PSROs). 2. A. Which of the following is a trend to watch in healthcare delivery? 24 d. e. 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? is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. c. The early retirement age is the earliest age at which an employee can. A. D. Landslides rarely affect agricultural property. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). A) do their job and do it well B) refuse to participate in organizations C) support legislation to improve care D) become a member of a support group, Julie S Snyder, Linda Lilley, Shelly Collins. A. 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. Yo almuerzo_______ (almorzar-entender) en la cafetera. If services provided to subscribers cost more than the capitation amount, the physician loses money. True or false? Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. Contracted health care services are delivered to subscribers by individual physicians in the community. Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. D) Historically, payment for healthcare services encouraged the use of expensive services. 2.4) Which of the following best describes the process of screening in the medical office setting? C. Emergency loans from the USDA in disasters are managed by the Farm Service Agency. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. 2.16) Twenty-five percent of urgent care patients do not have which of the following? Which of the following statements accurately describe an aspect of managed care? A. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. Group Model HMO suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; He tells the nurse, "I don't know what that word, outpatient, means." B. FEMA helps States by reviewing and coordinating State emergency plans. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. Most countries charge a tax on an individual's income as well as on corporate income. B. 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 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. Which of the following is true of long-term care facilities? fixed, but the retirement benefit is not known in advance. D. Floods are an uncommon cause of natural disaster in the United States. 5. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. 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? C. The number of animals that need to be evacuated from a farm is an important factor in determining how quickly a farm can be evacuated. OPEN-PANEL HMO, Direct Contract Model. C. Emergency managers are responsible for finding the owners of all lost animals. A) The contribution rate is fixed. follow in the model. 2.11) Concierge care does not offer patients which of the following? managed care plans because of restrictions placed upon their freedom to treat patients. gilead sciences canada jobs. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. b. Which of the following statements accurately describes the clinical nurse leader (CNL)? The traditional health care system in the United States is: 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. Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. 30. D) Pension benefits attributable to the employer, s contributions are not taxed until the employee retires or, 2) Beta Corporation has 1,000 employees eligible to participate in the firm, employees are considered highly compensated. Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. Which of the following statements best describes an integrated delivery system? B) Risk management is concerned with reducing exposure to legal liability. C. Construction of a new barn at a site above a floodplain. 1 D. All of the above. An elderly woman has total care of her husband with Alzheimer's disease. The National Committee for Quality Assurance (NCQA) evaluates managed care organizations. A. II. C. FEMA is a primary source of education on disaster management in the U.S. I. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. results. Patients' needs are assessed and prioritized. A) physical therapist C) social worker B) speech therapist D) respiratory therapist, 15. 12. C. Practice a fire drill every month throughout the fire season. Definition. All of the highly compensated employees are covered by the, plan. 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. Also write ELL above each elliptical clause. Compute the expected value of the damages and fill in the chart below. 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. gilead sciences canada jobs. Which of the following is a natural consequence of utilitarian forms of health care financing? A. Faculty of English Commerce Ain Shams University, Ajman University of Science and Technology Ajman), BSBLDR403 Lead team effectiveness Assessment 2.docx, SELECT CURTIME SELECT CURTIME 0 HOUR time Returns the hour for time This code, 32 Extraction of data Data extraction improves strategies for incorporating, It is convenient to subdivide the receiver into two parts the demodulator and, The_Impact_of_Financial_Structure__Financial_Leverage_and_Profitability_on_Industrial_Companies_Shar, designates subordinate commanders to serve as joint functional component, Tutorial 5-Midterm RUBRIC-Feb 27[3643].pdf, existence of this power to increase sentences since legislation now provides for, 534 Consultation Status after Flare up The study also collected data on whether, private station rather than have had the glories of command If indeed such, through-the-cognitive-functions-lens-a-socio-technical-analysis.pdf, Which of the following statements about life insurance cash values is (are) true? What managed care means? A. 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 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. Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. C. Hurricanes frequently cause flooding along the coast, but not inland. All definitions of institutions generally entail that there is a level of persistence and continuity. a. Triple option plan. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? A. establishes a contract that allows physicians to maintain their own offices and share services (e.g., appointment scheduling and billing). This question suggests which of the following? Group model C) The patient gets the bill and pays out-of-pocket costs. Expert Help. Which of the following statements regarding thunderstorms is correct? ), State insurance departments, state commerce or departmenf of cooperations. D. Large-scale disasters affecting livestock never have serious implications for State revenues. Hazardous materials released during floods will flow away with the water. b. distal radius perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? d. 2. Richard Milhous Nixon (January 9, 1913 - April 22, 1994) was the 37th president of the United States, serving from 1969 to 1974.A member of the Republican Party, he previously served as a representative and senator from California and was the 36th vice president from 1953 to 1961 under President Dwight D. Eisenhower.His five years in the White House saw reduction of U.S. involvement in the . Visibility, because only external customers should be considered. Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. c. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? A grade school is preparing a series of classes on the dangers of smoking. 7. a payment system based on Diagnosis related groups (DRGs). B. A. Medicare was established in 1965 under Title XVIII of the Social Security Act as a federal health insurance program for individuals age 65 and older, regardless of income or health status. B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. Unlike traditional fee-for-service. 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). B. Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? Which of the following is NOT relevant to the care of animals in floods? Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. Each line when completed, should have three words similar in meaning. The term used to describe sophisticated and highly complex medical care is. 4) Which of the following statements about retirement ages in pension plans is (are) true? 2.6) Which of the following best describes the alternative medicine modality of homeopathy? Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. B) Employer contributions are deductible up to certain limits as an ordinary business expense. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. a and b only. which of the following statements describes managed care? B. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. 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. Yet, segments of the health care system maintain aspects of a free-market competition. a. Patients should be well informed about care and treatment options. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. Laws, rules, social conventions and norms are all examples of institutions. 3. 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. withdrawn to cover qualified medical expenses is tax-free. 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. B. It has. e. Federal agencies are usually activated directly in response to requests from local emergency managers. 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. Brace anchor all tall or top-heavy objects. 25. A) Managed care systems control the cost of care with a lower quality of care. A) locally supported healthcare financing, usually by donations B) a public assistance program for low-income individuals C) predetermined payment for services based on medical diagnoses D) a private insurance plan for subscribers who pay a copayment. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Plans are required to meet minimum performance levels and to show demonstrable and measurable improvement in specified broad clinical areas (e.g., preventive services, acute ambulatory care, chronic care, and hospital care) based on performance improvement projects that each plan identifies. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. a. trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. an organized effort by health plans and providers to use financial incentives and organizational. (The catastrophic limit is usually higher than those common in other plans.) B) The family of the patient is required to pay costs. plans emphasize cost control, total health benefit costs continue to increase. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? A. 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. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" The Incident Command System provides a consistent method to respond to all types of emergencies. ICT also includes analog technology, such as paper communication, and .

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