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. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Which of the following statements about the history of home healthcare nursing is most accurate? 4. B) Risk management is concerned with reducing exposure to legal liability. This question suggests which of the following? (A) Give the symmetry number for each of the following molecules: 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. B. FEMA helps States by reviewing and coordinating State emergency plans. Group Model HMO C) education and income. Which of the following is a natural consequence of utilitarian forms of health care financing? 2.3) Which of the following statements best describes a health maintenance organization (HMO)? D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. utilization management (or utilization review). Which of the following is a trend to watch in healthcare delivery? 5. Juan trabaja de asistente de vuelo y habla con los pasajeros. A. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. (The catastrophic limit is usually higher than those common in other plans.) d. distals carpals, Use the integral test to find whether the following series converge or diverge. Many scholars consider a coup successful when the usurpers seize and hold power for at least . Point-of-service plan (POS) 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. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. Laws, rules, social conventions and norms are all examples of institutions. a payment system based on Diagnosis related groups (DRGs). Chapter08-HealthcareDeliverySystems - 1. Which of the following 51 which of the following statements about managed - Course Hero B) The contribution rate is fixed, and the retirement benefit is known in advance. A) The contribution rate is fixed. Which terms best describes those who receive managed health care plan 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? The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! Cambodia Crime. Money deposited (and earnings) is tax-deferred, and money. A. It has. These include provider networks, provider oversight, prescription drug tiers, and more. C. Volunteer organizations are the only source of disaster assistance at the locallevel. All definitions of institutions generally entail that there is a level of persistence and continuity. Insurance policy - Wikipedia A. Floodwaters are frequently contaminated with hazardous chemicals. Discontinued Capitation, adopted fee-for-service. Patients' needs are assessed and prioritized. Unlike traditional fee-for-service. Direct contract model which of the following statements describes managed care? 10. 8. A) Managed care systems control the cost of care with a lower quality of care. 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 best describes the connection between ethics and health care financing? Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice Integrated delivery system (IDS) 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. I. Examples of health care cost containment in the 1980s included: The traditional health care system in the United States is: trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. A. B. Which of the following statements accurately describe an aspect of managed care? B) The cost of healthcare in the United States has decreased dramatically. C. In most States, Good Samaritan Laws do not directly apply to the care of animals. Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. 3. Which of the following statements describes cyberwarfare? Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. 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. Healthcare Effectiveness Data and Information Set (HEDIS). EJEMPLO: Es probable que nosotros evitemos una tempestad. D. All of the above. 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 . 2.12) Which of the following does not apply to the role of a medical assistant? Most natural disasters affect local communities least of all. Which of the following statements about funding sources for nurse Free Clinical Skills Flashcards about Intro Final Exam 2.18) In 2007, how much of the world's population relied on alternative medicine? [Solved] Which of the Following Statements Describes Managed Care 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. Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. D. The USDA responds to disasters that threaten national food production, processing and distribution. B. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; 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? of Health care services are provided to subscribers by physicians employed by the HMO. Patients' needs are assessed and prioritized. Most employees are covered under some form of managed care plan. (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. Health maintenance organization (HMO) llegar a tiempo Select all that apply. 4. Which of the following statements best describes this system? Managed care can now be categorized according to six models: 1. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. B. Thunderstorms and their consequences are common, but rarely create problems. 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. Additional paperwork for specialists to complete and the filing of treatment and discharge plans A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. to What statement describes the most important function of the health record? 6. C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. Costs from animal disease outbreaks include loss of production andreplacementof animals. Preferred provider organization (PPO) 92) Which of the following best describes vendor managed inventory? Annual physical examinations are encouraged for the early detection of health problems. a. Tax-exempt accounts that are offered by employers to any number of employees, which individuals use to pay health care bills. . efficient and lower cost manner. A. 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. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. 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. A Colles fracture occurs at the: Which of the following phrases is characteristic of case management as a method of healthcare delivery? D) Risk management is a spontaneous response to an unexpected incident. A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. D. All of the above. 30. 8-10 - 1. Which of the following statements accurately describe an Health Savings Account (HSA); Health Savings Security Account (HSSA). All of the highly compensated employees are covered by the, plan. es necesario el capitn hacerun anuncio Why is this plan called a third-party payer? Definition. A. 2. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. B. 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. B) The family of the patient is required to pay costs. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. B. Which of the following statements is correct regarding floods? 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. 28. Quality Improvement System for Managed Care (QISMC). Which of the following statements about managed care are true? You ask her the reason for seeing her provider. Even though managed care. 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. What is the primary focus of healthcare today? Patients should be well informed about care and treatment options. HMOS often require a copayment (or copay), which is a fee paid by the patient to the provider at the time health care services are rendered. The Incident Command System provides a consistent method to respond to all types of emergencies. Proper watershed, forest, and rangeland management is effective mitigation against droughts. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). ), State insurance departments, state commerce or departmenf of cooperations. B) The supplier maintains the inventory for the buyer. withdrawn to cover qualified medical expenses is tax-free. 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. 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. Ch. 3 Managed Health Care Flashcards | Quizlet A. Which of the following statements accurately describes an aspect of home healthcare? 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 11. FEMA IS 111.A: Livestock in Disasters Answers but the retirement benefit is not known in advance. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. D. Small amounts of snow never have devastating effects on a community. [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 . Group model (B) Give the symmetry number for each of the following molecules: 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) 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. 17. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. Under extreme heat conditions, livestock require less than 10%body weightof water per day. D) Historically, payment for healthcare services encouraged the use of expensive services. U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. d. A) The insurance company pays all or most of the costs. managed care. Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? 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. Up-to-date lists of special administrative procedures required by each managed care plan contract And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. C) The nurse is considered the "gatekeeper" in the managed care system. What type of agency is this? 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. 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. Which of the following statements accurately describe an aspect of managed care? c. Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. e. 2.10) Which of the following best describes how alternative health therapies are being perceived? D. The USDA responds to disasters that threaten national food production, processing and distribution. Which of the following statements correctly describe liability issues in disasters? B. which of the following statements describes managed care? Crop insurance to protect against the effects of summer storms. Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. 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. B. Which of the following statements iscorrectregarding droughts? Exclusive provider organization (EPO) In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Select all that apply. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. B. c. It lowers cost through the elimination of waste and excess. Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. 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. Which of the following statements accurately describes disaster assistance? Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). D. All of the above. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. 5. B) The contribution rate is fixed, and the retirement benefit is known in advance. The only loss in disasters is to affected farms. What type of care might the nurse suggest to give her some much-needed time of her own? certificate of need programs. 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. 10. The most common health plans available today often include features of managed care. These are designed to manage . It is the result of a joint venture between hospitals and members of their medical staff. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. which of the following statements describes managed care? C) Short- and long-term results of cost-containment measures are undetermined. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. Which of the following statements will NOT reduce risks arising from wildfires? A. f. Step-by-step explanation Which of the following is NOT relevant to the care of animals in floods? which of the following statements describes managed care? Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. a. B. D. Landslides rarely affect agricultural property. B. D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. 26. Case managers do not use the nursing process. Ms. A Chap 1-4 Flashcards - Cram.com which of the following statements describes managed care? b. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. 5) Which of the following statements describes a defined. d. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). 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. The group plan will pay depending on the employee's recovery C. The group plan will not pay because the employee was injured at work D. The group plan will pay C. which of the following statements describes managed care?
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