which of the following statements describes managed care?

which of the following statements describes managed care?which of the following statements describes managed care?

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? ayudar a los otros pasajeros A. D. Large-scale disasters affecting livestock never have serious implications for State revenues. B. It is attentive to the needs of the membership group and individual patients. d. Which of the following statements about managed funds is NOT correct? Point-of-service plan (POS) A. State disaster declarations can only be made when more than one community is affected. Professional standards review organizations (PSROs). (Network providers are usually reimbursed on a fee-for-service basis. Patients do not need to be well informed about the financial benefit issues that affect the provision of care. c. The use of remedies made from naturally occurring plant, animal, or mineral substances. which of the following statements describes managed care? All definitions of institutions generally entail that there is a level of persistence and continuity. Which of the following terms best describes this type of healthcare setting? 2.14) Mrs. J. has just seen her provider. The nurse may make a referral to what member of the healthcare team? Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). llegar a tiempo B. Select one: O a. D. All of the above. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. Unlike traditional fee-for-service. 53. immunizations and screenings included in benefits 54. 2. Never tie an animal up if floods are pending. Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed 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? D. The USDA responds to disasters that threaten national food production, processing and distribution. which of the following statements describes managed care? Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. 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. The financing of America's health care system has changed the way health care services are organized and delivered, as evidenced by a movement from traditional fee-for-service systems to managed care networks. Son las diez de la noche y nosotras estamos cansadas. Health maintenance organizations (HMOS) manage patient health care services by expending a monthly capitation amount paid by a third-party payer. The federal _________ plan requires managed care plans that contract with Medicare or Medicaid to disclose information about ________ plans to CMS or state Medicaid agencies before a new or renewed contract receives final approval. Up-to-date lists of patient copayments and fees for each managed care plan contract Special patient interviews to ensure preauthorization and to explain out-of-network requirements if the patient is self-referring 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. In outbreaks reported from acute care settings in the U.S. following implementation of unive. Which one of the following statements best describes the family caregiver burdens of providing home care ? Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? 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. Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. e. B. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. B. Designating access to barns and water for firefighters. A. b. 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. National rivers, which are among the categories, are overseen by the bureau. It is necessary for it to be raining to be struck by lightning. Which of the following statements is correct regarding floods? Annual physical examinations are encouraged for the early detection of health problems. This type of economic structure best describes which of the following? A mutual fund is required to use the services of a mutual fund custodian. Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? Which of the following statements will NOT reduce risks arising from wildfires? Managed care can now be categorized according to six models: 1. Which of the following statements is correct regarding the identification of animals in disasters? C. Hurricanes frequently cause flooding along the coast, but not inland. Deontological theories Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. D. Heat stress in animals only occurs under conditions of extreme heat. 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. Chapter 2 Quiz Flashcards | Quizlet Beginning in 2006, the Physician Quality Reporting System (formerly called Physician Quality Reporting Initiative or PQRI system) established a _____ incentive for eligible professionals who participate in a ________ quality reporting program. B. Which of the following describes one of the elements that the nurse practitioner has successfully met? 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). What statement describes the most important function of the health record? Which of the following statements are considerations for managed care organizations? B. 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. Which of the following statements about the nursing process is true. A. Disasters can be a threat to animal well-being. 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. Once you have chosen a verb, write the correct! D. Landslides rarely affect agricultural property. Which of the following statements about risk management is true - Weegy Which of the following statements accurately describes an aspect of home healthcare? What population do hospice nurses provide with care? 19. 2.11) Concierge care does not offer patients which of the following? is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. A. Livestock agriculture is more widely dispersed than ever before. Usually, all ambulatory services are provided within HMO corporate buildings. e. Staff model The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. ICT also includes analog technology, such as paper communication, and . Class 1: ACE inhibitors, ARB's, CCB's, and Be, Byron Almen, Dorothy Payne, Stefan Kostka, Eric Hinderaker, James A. Henretta, Rebecca Edwards, Robert O. Self, John Lund, Paul S. Vickery, P. Scott Corbett, Todd Pfannestiel, Volker Janssen, Ch 5 Ethical Quandaries in Community Health N. 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. a and b only. trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. which of the following statements describes managed care? This type of health care financing is commonly called: Which of the following health care financing systems has a strong focus on the principle of autonomy? Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. Managed care plans implement _______ as a method of controlling health care costs and quality of care. True or false? Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? 6. B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. C) Risk management is unique to the health care industry. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. A) There is minimal purchasing-oriented paperwork. Cash values are a result of the level premium method of purchasing life insurance. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. Then, identify each adjective clause as essential (E) or nonessential (N). C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. POS enrollees pay less if they use the plan's in-network providers. They are intended to prevent the problem of covering members who are sicker than the general population (called adverse selection). Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . Yo almuerzo_______ (almorzar-entender) en la cafetera. 6. 27. C. FEMA is a primary source of education on disaster management in the U.S. Chapter 08- Healthcare Delivery Systems - 1. Which of the following Healthcare in the United States - Wikipedia Examples of health care cost containment in the 1980s included: 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. 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. B) epidemiology. B) The cost of healthcare in the United States has decreased dramatically. 24. 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. These range from structured staff model HMOS to less structured preferred provider organizations (PPOS). Group model es necesario el capitn hacerun anuncio Per the PPACA, employees are permitted to carry over up to $500 of unspent funds remaining in the FSA at the end of the year. C. In most States, Good Samaritan Laws do not directly apply to the care of animals. A. Medicare established the __________ to ensure the accountability of managed care plans in terms of objective, measurable standards (requirements). is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. managed care. 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. Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). Health risk assessment instruments (surveys) and resources are also available to subscribers. (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? These include provider networks, provider oversight, prescription drug tiers, and more. 2. HSA stands for health savings account, and HSA-qualified plans can be HMOs, PPOs, EPOs, or POS plans. which of the following statements describes managed care? A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. I. B) The care of the patient is carefully planned and monitored by the primary care provider. e. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. 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. Most countries charge a tax on an individual's income as well as on corporate income. Visibility, because only external customers should be considered. The owner of an escaped animal may be held liable for damages his/her animal creates. Smallville Mall's insurer knows the existence, Insurable interest may exist when Select one: a.Julia has insurance on a car she just sold, b.Wells Fargo bank lends Tien $300,000 to buy a house and buys insurance on the house, c.Anthony, a, Assume that the following probability distribution exists for automobile damages. 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. a. 5. Health care is provided in an HMO-owned center or satellite clinic or by physicians who belong to a specially formed medical group that serves the HMO. A home healthcare agency providing care in a local community is supported by the United Way and local donations. 10. which of the following statements describes managed care? is a physician or health care facility under contract to the managed care plan. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Specialty Pharmacy J. Industry/Manufacturing. b. Chapter08-HealthcareDeliverySystems - 1. Which of the following Which of the following statements is/are correct regarding the humane care of animals in disasters? 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. Ch. 3 Managed Health Care Flashcards | Quizlet A) Managed care systems control the cost of care with a lower quality of care. . C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. Money deposited (and earnings) is tax-deferred, and money. Which of the following statements accurately describe an aspect of managed care? C) Short- and long-term results of cost-containment measures are undetermined. plans emphasize cost control, total health benefit costs continue to increase. Integrated delivery system (IDS) 19. Crop insurance to protect against the effects of summer storms. Laws, rules, social conventions and norms are all examples of institutions. A. Livestock are resistant to heat stress. Which of the following statements iscorrectregarding the human food supply in disasters? yo poner sus cosas debajo del asiento An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. Cyberwarfare is an attack carried out by a group of script kiddies Cyberwarfare is simulation software for Air Force pilots that allows them to practice under a simulated war scenario Cyberwarfare is a series of personal protective equipment developed for soldiers involved in nuclear war PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. 22. A) The contribution rate is. 3. 16. B. B. 25. e. II. 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. It is the result of a joint venture between hospitals and members of their medical staff. Which of the following statements describes cyberwarfare? 1. Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. A) physical therapist C) social worker B) speech therapist D) respiratory therapist, 15. prestar mucha atencin. Information and communications technology - Wikipedia D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. fee-for-service. Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. b. The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. 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. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. horse hind leg tendon sheath. Which of the following statements accurately describes the clinical nurse leader (CNL)? D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? 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. 12. manages the delivery of health care services offered by hospitals, physicians (who are employees of the _____), and other health care organizations (e.g., an ambulatory surgery clinic and a nursing facility). D. All of the above. 51) Which of the following statements about managed care plans is (are) true? 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . A. 11. b. C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. Patient care delivery 2. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. 4. B. Additional paperwork for specialists to complete and the filing of treatment and discharge plans c. Which of the following statements arecorrect? Which of the following statements best describes this system? 5. 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. results. A. The National Committee for Quality Assurance (NCQA) evaluates managed care organizations. which of the following statements describes managed care? Which of the following statements arecorrectregarding injuries and damages that result from earthquakes? If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps).

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