which of the following statements describes managed care?

It attempts to control costs by modifying the behavior of providers and patients. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? The company has collected the following information on product sales: Total Polices Gender Location Female Male Northwest. National Committee for Quality Assurance (NCQA). Spreading livestock operations out among several states is effective mitigation against weather-related disasters. Unit 17 Quiz Flashcards | Quizlet A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. 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.Health insurance payments and co-pays must be proportional to income. D. All of the above. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Most natural disasters affect local communities least of all. A. Providers are employees of the organization. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. D. All of the above. Quality Improvement System for Managed Care (QISMC). C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. Which of the following is a characteristic of primary healthcare? B. Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. A. 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. A. B) epidemiology. Select all that apply. D. Floods are an uncommon cause of natural disaster in the United States. Which of the following statements arecorrect? Escriba lo que dice. Visibility, because only external customers should be considered. Step-by-step explanation HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. Cash values are a result of the level premium method of purchasing life insurance. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; 2. 13. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? 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. B. Each line when completed, should have three words similar in meaning. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. Non-Profit Bylaws Last revision 09/27/2022 Formats Word and PDF Size 6 A. 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. 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. e. I. B. 2. F) Planning and monitoring are conducted to ensure standards are followed. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? C. Reducing personal water usage helps reduce the impact of droughts. Solved 25. Which of the following statements about managed - Chegg Which of the following statements is correct regarding disasters? A man is scheduled for hospital outpatient surgery. 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. Which of the following statements iscorrectregarding the disposal ofcarcasses? A) There is minimal purchasing-oriented paperwork. What is the confusion that might arise concerning her treatment and care is a problem known as? The owner of an escaped animal may be held liable for damages his/her animal creates. Shared post - One Year Later, Biden Fails to - greenwald.locals.com Which of the following statements accurately describe an aspect of managed care? Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. 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. Institution - Wikipedia C) The contribution rate is, variable, and the retirement benefit is not known in advance. C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. 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 B. b. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. a. information disclosure regulation b. establishing minimum standards and monitoring compliance, The Smallville Mall has assumed the responsibility for payment of liability losses caused by Chuck's Famous Pizza to attract the pizza chain to the mall. Cambodia Crime. C. Disasters are declared starting at the local, then state, then federal level. CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. If services provided to subscribers cost more than the capitation amount, the physician loses money. Professional standards review organizations (PSROs). D) Historically, payment for healthcare services encouraged the use of expensive services. but the retirement benefit is not known in advance. Even though smoke residues can be harmful to livestock, if livestock have been exposed to smoke residues they can be used for human consumption without concern. 5) Which of the following statements describes a defined. 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. Select all that apply. 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. 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. Provide quality health care while containing costs. D) profession and income. Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. B. Out-of-pocket payments for health care expenses, which are made after the tax-exempt account is expended and before the deductible for high-deductible insurance has been met; this tier actually represents a gap in coverage _______ were created to manage benefits and to develop participating provider networks. Why is this plan called a third-party payer? Which of the following statements about the nursing process is true. Which of the following statements accurately describe an aspect of managed care? Which of the following statements iscorrectregarding the human food supply in disasters? 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. 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. 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. B. Which of the following statements describe effective operations in disasters? D. The USDA responds to disasters that threaten national food production, processing and distribution. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. It is the result of a joint venture between hospitals and members of their medical staff. D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. 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. It is necessary for it to be raining to be struck by lightning. which of the following statements describes managed care? OPEN-PANEL HMO, Direct Contract Model. Free Clinical Skills Flashcards about Intro Final Exam Healthcare Effectiveness Data and Information Set (HEDIS). What is one way in which nurses can help shape healthcare reform? Course Hero is not sponsored or endorsed by any college or university. Which of the following statements regarding thunderstorms is correct? B. The early retirement age is the earliest age at which an employee can. . D) Medicare and Medicaid will pay most of the costs. Ch. 8 Community Health Practice Questions Flashcards | Quizlet B) The supplier maintains the inventory for the buyer. This question suggests which of the following? Disaster advice from the USDA is provided by the Cooperative Extension Service. Individual Practice Association (IPA) HMO. Which of the following is true of long-term care facilities? fern storage cabinet anthropologie / normaliser un vecteur propre / normaliser un vecteur propre HSA stands for health savings account, and HSA-qualified plans can be HMOs, PPOs, EPOs, or POS plans. Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. Describe the three levels of Sumerian society. 2.4) Which of the following best describes the process of screening in the medical office setting? 3. 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. A) The insurance company pays all or most of the costs. efficient and lower cost manner. B. 1. which of the following statements describes managed care? Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. Which of the following statements about the history of home healthcare nursing is most accurate? Direct contract model 92) Which of the following best describes vendor managed inventory? all of the above. (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 iscorrectregarding a Foreign Animal Disease outbreak? 2. What is the minimum number of the 900 non, highly compensated employees who must be covered by the. Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. 6. FEMA IS-120.C: An Introduction to Exercises Answers. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. Responsible for reviewing health care provided by managed care organizations. Relate What evidence indicates that oceans formed early in Earth's geologic history? arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. 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 correctly describes animal disease outbreaks? 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. 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. Institutions vary in their level of formality and informality. Which of the following phrases is characteristic of case management as a method of healthcare delivery? 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? 9. Which of the following statements about risk management is true? Costs from animal disease outbreaks include loss of production andreplacementof animals. 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. Which of the following statements is correct regarding the identification of animals in disasters? 27. Discontinued Capitation, adopted fee-for-service. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. 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. c. 2.1) Which of the following best describes the form of medical practice management in which the provider's personal property is attached and may be sold if the business fails? A. 2.12) Which of the following does not apply to the role of a medical assistant? Managed care can now be categorized according to six models: 1. Health plans also use HEDIS results themselves to see where they need to focus their improvement efforts. 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. Triple option plan. is a physician or health care facility under contract to the managed care plan. 28. c. b. B. Libertarian theories Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. 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). managed care plans because of restrictions placed upon their freedom to treat patients. A. A. precertification. Chapter08-HealthcareDeliverySystems - 1. Which of the following

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