Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice 1. Managed care plans emphasize cost controls and preventative care. 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. Which of the following statements is correct about the behavior of landslides? C. Emergency loans from the USDA in disasters are managed by the Farm Service Agency. a. Professional standards review organizations (PSROs). Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? View the full answer. Provide quality health care while containing costs. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. B) genetics and income. Which of the following phrases is characteristic of case management as a method of healthcare delivery? 7. 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. What is the pressu re at the bottom of the water layer? A) Managed care systems control the cost of care with a lower quality of care. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. State disaster declarations can only be made when more than one community is affected. c. proximal carpals Which of the following statements accurately describe an aspect of managed care? B. 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? 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. Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. National Committee for Quality Assurance (NCQA). C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. Answer the following questions about these Canadian artists. 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. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. results. What managed care means? Quality Compass users benefit from the largest database of comparative health plan performance information to conduct competitor analysis, examine quality improvement and benchmark plan performance. 2. e. d. Network model You ask her the reason for seeing her provider. Qu hacemos? 22. how has dissection been used in engineering; which of the following statements describes managed care? It attempts to control costs by modifying the behavior of providers and patients. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. C) Reimbursement is usually based on fee-for-service. 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. A. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. A. C. Volunteer organizations are the only source of disaster assistance at the locallevel. D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. 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. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. B. Disaster advice from the USDA is provided by the Cooperative Extension Service. B. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. D. Large-scale disasters affecting livestock never have serious implications for State revenues. Managed care plan enrollees receive care from a ________ selected from a list of participating providers. Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. EJEMPLO: Es probable que nosotros evitemos una tempestad. Employees contribute funds to the FSA through a salary reduction agreement and withdraw funds to pay medical bills. Cash values are a result of the level premium method of purchasing life insurance. Which of the following statements best describes an integrated delivery system? 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. follow in the model. benefit pension plan? C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. 27. What type of care might the nurse suggest to give her some much-needed time of her own? 17. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. an organized effort by health plans and providers to use financial incentives and organizational. Which one of the following statements best describes the family caregiver burdens of providing home care ? C) Risk management is unique to the health care industry. Which of the following statements is correct regarding disasters? Individual Practice Association (IPA) HMO. Libertarian theories 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. Select all that apply. Which of the following statements iscorrectregarding droughts? 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. 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. "Don't drop out of school." b. d. 1. Tax-exempt account that is used to pay for health care expenses. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. d. The Incident Command System provides a consistent method to respond to all types of emergencies. B) The cost of healthcare in the United States has decreased dramatically. 2.16) Twenty-five percent of urgent care patients do not have which of the following? which of the following statements describes managed care? The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? 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. A. Some case managers employed by the MCO to monitor services provided to enrollees and to be notified if a patient fails to keep a preauthorized appointment 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 . D. All of the above. c. 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. 2.17) Approximately how many boutique operations are there in the United States? Which of the following statements will NOT reduce risks arising from wildfires? D. All of the above. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. (a) CO\mathrm{CO}CO, (b) O2\mathrm{O}_2O2, (c) H2S\mathrm{H}_2 \mathrm{~S}H2S, (d) SiH4\mathrm{SiH}_4SiH4, and (e) CHCl3\mathrm{CHCl}_3CHCl3. Which of the following statements accurately describe an aspect of managed care? The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. Also write ELL above each elliptical clause. 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. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. Select all that apply. A. Annual physical examinations are encouraged for the early detection of health problems. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. How would the nurse respond? Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. es importante los pasajeros seguir las instrucciones de seguridad A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. C) The patient gets the bill and pays out-of-pocket costs. Ice dams on roofs and large icicles are uncommon causes of building collapse. managed care. B. a. D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. D) There is only one supplier for all units of a particular product. b. 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. Continuing Healthcare Funding issues - why isn't it simple to apply? F) Competition among hospitals has further fueled the increase in health costs. Which of the following statements accurately describe an aspect of managed care? A. Most countries charge a tax on an individual's income as well as on corporate income. b. 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. You have three metal samples- A,B\mathrm{A}, \mathrm{B}A,B, and C\mathrm{C}C - that are tantalum (Ta), barium (Ba), and tungsten (W), but you don't know which is which. Individual Practice Association (IPA) HMO Network Model HMO. C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. c. A man is scheduled for hospital outpatient surgery. 14. Managed care can now be categorized according to six models: 1. 16. In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet The aftermath was first by the Bush administration - by George Bush's then secretary of Treasury, who had come right from Goldman Sachs, which was Hank Paulson. c. C. Only if flowing water is above your waist is it too high to cross. a) managed care. trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. Select all that apply. Select all that apply. D) profession and income. which of the following statements describes managed care? A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. The marketing department is launching a new advertising campaign. For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. managed care. Which of the following is a trend to watch in healthcare delivery? 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). The early retirement age is the earliest age at which an employee can. combines health care delivery with the financing of services provided. Which of the following statements accurately describes disaster assistance? C) The contribution rate is, variable, and the retirement benefit is not known in advance. Never tie an animal up if floods are pending. D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. In outbreaks reported from acute care settings in the U.S. following implementation of unive. 8. Preferred provider organization (PPO) A) The contribution rate is. (A) Give the symmetry number for each of the following molecules: It is the result of a joint venture between hospitals and members of their medical staff. 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? Most employees are covered under some form of managed 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. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. Peer review organizations (PROs).
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