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

1 9. which of the following statements describes managed care? Ch. 8 Community Health Practice Questions Flashcards | Quizlet c. 51 which of the following statements about managed - Course Hero Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. This type of economic structure best describes which of the following? After a stroke, a patient is having difficulty swallowing. 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. Expert Help. which of the following statements describes managed care? Most countries charge a tax on an individual's income as well as on corporate income. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad 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. b. Which of the following statements describes cyberwarfare? Documentation of ownership may be needed to reclaim a lost animal. D. All of the above. A variety of measures can be used; measures may be simple or complex; it is recommended that measures be straightforward, understandable, and valid. which of the following statements describes managed care? B. Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. True or false? Unit 17 Quiz Flashcards | Quizlet B. FEMA helps States by reviewing and coordinating State emergency plans. A. 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. PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. Chapter 08- Healthcare Delivery Systems - 1. Which of the following Which of the following statements iscorrectregarding the human food supply in disasters? Other plans contract with a _________, an organization that provides health benefits claims administration and other outsourced services for self-insured companies. What type of care might the nurse suggest to give her some much-needed time of her own? If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. Some managed care plans contract out utilization management services to a _________ an entity that establishes a utilization management program and performs external utilization review 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 . An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. Choose the correct description or cause of pharyngitis. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. 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. 3. C. Volunteer organizations are the only source of disaster assistance at the locallevel. June 29, 2022. 17. 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 statements describe effective operations in disasters? They are intended to prevent the problem of covering members who are sicker than the general population (called adverse selection). Select all that apply. Marcos and his horse will lead the tyler fourth of july parade. C) The patient gets the bill and pays out-of-pocket costs. 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). Compute the expected value of the damages and fill in the chart below. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. 2.10) Which of the following best describes how alternative health therapies are being perceived? C. Hurricanes frequently cause flooding along the coast, but not inland. ICT also includes analog technology, such as paper communication, and . 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. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A The enrollee will have greater out-of-pocket expenses, as he must pay both a large deductible (usually $200 to $250) and 20 to 25 percent coinsurance charges, similar to those paid by persons with fee-for-service plans. 9. Which of the following statements about risk management is true - Weegy Which of the following statements are considerations for managed care organizations? A patient who requires treatment for breast cancer is referred to an oncologist. D) Medicare and Medicaid will pay most of the costs. which of the following statements describes managed care? Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? Select all that apply. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. What type of agency is this? Brace anchor all tall or top-heavy objects. a. Course Hero is not sponsored or endorsed by any college or university. Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. The marketing department is launching a new advertising campaign. Individual Practice Association (IPA) HMO Network Model HMO. es mejor todo el mundo tomar su asiento en seguida 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. Under extreme heat conditions, livestock require less than 10%body weightof water per day. In the following sentences, circle each incorrectly used lowercase letter. 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. 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? 2.17) Approximately how many boutique operations are there in the United States? A) The insurance company pays all or most of the costs. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. which of the following statements describes managed care? B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. 10. Which of the following statements accurately describe an aspect of managed care? gilead sciences canada jobs. What statement describes the most important function of the health record? 7. Although you will first check with her provider, you are sure she is to see which of the following? [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 remedies made from naturally occurring plant, animal, or mineral substances. Es el medioda y t tienes hambre. 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. 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 Which of the following statements is correct regarding floods? Possible Outcomes for Expected Value Damages, 2. 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. 4) Which of the following statements about retirement ages in pension plans is (are) true? 4. B) The contribution rate is fixed, and the retirement benefit is known in advance. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. Which of the following statements iscorrectregarding snow fall? A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. 22. A. Because a ________ would have the practical effect of prohibiting a physician from giving a patient the full range of advice and counsel that is clinically appropriate, it would result in the managed care plan not providing all covered Medicare services to its enrollees, in violation of the managed care plan's responsibilities. . 8. B. Escriba lo que dice. B. Medical practice that treats disease, such as medications and surgery Allopathic Individual contributes to the injury or condition Contributory negligence A person under the age of 18 who has been legally separated from his/her parents Emancipated minor Discontinue medical care without proper notice after accepting a patient Abandonment C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. Professional standards review organizations (PSROs). A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. The nurse may make a referral to what member of the healthcare team? B. C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. D) Risk management is a spontaneous response to an unexpected incident. D. Landslides rarely affect agricultural property. 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. 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 patient has a private insurance policy that pays for most healthcare costs and services. He tells the nurse, "I don't know what that word, outpatient, means." which of the following statements describes managed care? B) genetics and income. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. The owner of an escaped animal may be held liable for damages his/her animal creates. Unlike traditional fee-for-service. 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. c. B. A) They actively recruit vulnerable populations. 2. Additional paperwork for specialists to complete and the filing of treatment and discharge plans D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Many scholars consider a coup successful when the usurpers seize and hold power for at least . All parties should foster an ethical environment for the delivery of effective and efficient quality health care. Definition. e. which of the following statements describes managed care? (2022) Which of the following terms best describes this type of healthcare setting? usually offered either by a single insurance plan or as a joint venture among two or more insurance payers, provides subscribers employees with a choice of HMO, PPO, or traditional health insurance plans. B) The care of the patient is carefully planned and monitored by the primary care provider. 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. D. All of the above. Select all that apply. Peer review organizations (PROs). Most human injuries in earthquakes result from falling objects. Never tie an animal up if floods are pending. The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! Tax - Wikipedia 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. A. In return, individuals assume significantly higher cost-sharing expenses after the designated amount has been expended. Managed care plans implement _______ as a method of controlling health care costs and quality of care. 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. Which of the following statements describes appropriate procedures for dealing withanimal health/disease? [Solved] Which of the following statements describes managed care organizations? Patients do not need to be well informed about the financial benefit issues that affect the provision of care. Exclusive provider organization (EPO) 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? Which of the following is a trend to watch in healthcare delivery? C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. B) The family of the patient is required to pay costs. A. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . Which of the following statements accurately describe an aspect of managed care? Specialty Pharmacy J. Industry/Manufacturing. You ask her the reason for seeing her provider. Why is this plan called a third-party payer? HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. b. Shared post - One Year Later, Biden Fails to - greenwald.locals.com D. All of the above. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. Which of the following statements about the history of home healthcare nursing is most accurate? B. Thunderstorms and their consequences are common, but rarely create problems. Costs from animal disease outbreaks include loss of production andreplacementof animals. D. All of the above. Triple option plan. c. Individual (or Independent) practice association (IPA) 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. Accreditation of Managed Care Organizations. OPEN-PANEL HMO, Direct Contract Model. b. Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days es posible nosotros permanecer sentado(s) What is the pressu re at the bottom of the water layer? gilead sciences canada jobs. d. What are DRGs? D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. E) The managed care system may required approval for specialty care. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. D. All of the above. Which of the following statements is correct about the behavior of landslides? Damage from mudflows cannot be covered by insurance. Which terms best describes those who receive managed health care plan 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. 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). of all of the above. a. Institution - Wikipedia c.Health insurance must be This problem has been solved! B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. c. Annual physical examinations are encouraged for the early detection of health problems. d. D. All of the above. B) The supplier maintains the inventory for the buyer. A. Livestock are resistant to heat stress. fee-for-service. Who would be most likely to teach the classes? 24. B. single payer systems. 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). What is Managed Care? | Cigna Select all that apply. The group plan will pay a portion of the employee's expenses B. Explain whether or not scientific methods are sets of procedures that scientists follow. a. withdrawn to cover qualified medical expenses is tax-free. A) The U.S. healthcare system has been experiencing a financial crisis. Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). Point-of-service plan (POS) D) Hospitals are the preferred setting for service delivery. (A) Give the symmetry number for each of the following molecules: HMO What type of insurance is most likely involved? Libertarian theories Health maintenance organization (HMO) Insurance policy - Wikipedia E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. D. All of the above. d. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? 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. 15. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. 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. 5) Which of the following statements describes a defined. The term used to describe sophisticated and highly complex medical care is. A. B. Disaster advice from the USDA is provided by the Cooperative Extension Service. 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). Contracted health care services are delivered to subscribers by individual physicians in the community. Information and communications technology - Wikipedia C. Disasters are declared starting at the local, then state, then federal level. Richard Nixon - Wikipedia Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. Select all that apply. Never tie an animal up if floods are pending. Staff Model HMO Which of the following statements accurately describe an aspect of managed care? C) The nurse is considered the "gatekeeper" in the managed care system. (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. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. A POS plan is not an HMO, but it is a managed care plan that combines the characteristics of an HMO and a preferred provider organization (PPO) (discussed below). A) Managed care systems control the cost of care with a lower quality of care. 27. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. I get so confused." The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. Healthcare in the United States - Wikipedia If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . Health risk assessment instruments (surveys) and resources are also available to subscribers. Managed care plans also require the development of patient care plans for the coordination and provision of care for complicated cases in a cost-effective manner, which is called __________. Quality Improvement System for Managed Care (QISMC). benefit pension plan? 2.4) Which of the following best describes the process of screening in the medical office setting? Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. e. Tax-exempt accounts that are offered by employers with 50 or more employees, which individuals use to pay health care bills. C) The nurse is considered the gatekeeper in the managed care system. 2.4) Which of the following best describes the process of screening in the medical office setting? (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? Local plans allow communities to integrate with state and federal response to disasters. A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. A. Select one: O a. Which of the following statements correctly describe liability issues in disasters? Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations.
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