which of the following statements describes managed care?

Possible Outcomes for Expected Value Damages, 2. It aims toward lower premiums and preventive care benefits. B. For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. Which of the following statements iscorrectregarding hurricanes? plan in order for the plan to satisfy the ratio test? 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. 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. Showing 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. A patient has a private insurance policy that pays for most healthcare costs and services. (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? I get so confused." 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. 30. Which of the following statements about risk management is true? And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. 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. The traditional health care system in the United States is: 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). 19694 14. 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. Responsible for reviewing health care provided by managed care organizations. C. Reducing personal water usage helps reduce the impact of droughts. benefit pension plan? Richard Milhous Nixon (January 9, 1913 - April 22, 1994) was the 37th president of the United States, serving from 1969 to 1974.A member of the Republican Party, he previously served as a representative and senator from California and was the 36th vice president from 1953 to 1961 under President Dwight D. Eisenhower.His five years in the White House saw reduction of U.S. involvement in the . 2. State disaster declarations can only be made when more than one community is affected. Provide quality health care while containing costs. A. Case managers do not use the nursing process. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. 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. In economic terms, taxation transfers wealth from households or businesses to the . 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. Which of the following statements iscorrectregarding the human food supply in disasters? Cash values are a result of the level premium method of purchasing life insurance. 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 C. Disasters are declared starting at the local, then state, then federal level. B) The family of the patient is required to pay costs. A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. Who would be most likely to teach the classes? C) Short- and long-term results of cost-containment measures are undetermined. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. 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. a) managed care. These are designed to manage . A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. Select all that apply. 6. 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. D. Allowing people to smoke in barns. 53. immunizations and screenings included in benefits 54. Which of the following best describes the connection between ethics and health care financing? Why is this plan called a third-party payer? Accreditation organizations develop standards (requirements) that are reviewed during a survey (evaluation) process that is conducted both offsite (e.g., managed care plan submits an initial document for review) and onsite (at the managed care plan's facilities). but the retirement benefit is not known in advance. What is the primary focus of healthcare today? 2.13) Which of the following best describes the purpose of managed care? The nurse may make a referral to what member of the healthcare team? (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. 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 __________. Which of the following is a natural consequence of utilitarian forms of health care financing? "Don't drop out of school." b. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . Which of the following statements iscorrectregarding snow fall? Health risk assessment instruments (surveys) and resources are also available to subscribers. A) The contribution rate is. Tax-exempt account that is used to pay for health care expenses. c. d. 1. D. All of the above. A. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. 4. 92) Which of the following best describes vendor managed inventory? All of the highly compensated employees are covered by the, plan. What type of insurance is most likely involved? An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. managed care plans because of restrictions placed upon their freedom to treat patients. Compute the expected value of the damages and fill in the chart below. Answer the following questions about these Canadian artists. It is the result of a joint venture between hospitals and members of their medical staff. 8. es importante los pasajeros seguir las instrucciones de seguridad B) epidemiology. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance. which of the following statements describes managed care? 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? Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. The Incident Command System provides a consistent method to respond to all types of emergencies. c. All definitions of institutions generally entail that there is a level of persistence and continuity. which of the following statements describes managed care? b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. B. Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). 11. Which of the following statements accurately describes the activation of federal agencies in disasters? D. Heat stress in animals only occurs under conditions of extreme heat. 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? B. 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. In return, individuals assume significantly higher cost-sharing expenses after the designated amount has been expended. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. 5. A. which of the following statements describes managed care? suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; A grade school is preparing a series of classes on the dangers of smoking. 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. 10. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. National rivers, which are among the categories, are overseen by the bureau. Which of the following statements iscorrectregarding a Foreign Animal Disease outbreak? B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. EJEMPLO: Es probable que nosotros evitemos una tempestad. A. Livestock agriculture is more widely dispersed than ever before. You ask her the reason for seeing her provider. Which of the following statements are considerations for managed care organizations? B) genetics and income. d. c. proximal carpals D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. external quality review organization (EQRO). Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? Juan trabaja de asistente de vuelo y habla con los pasajeros. F) Planning and monitoring are conducted to ensure standards are followed. b. Which of the following phrases is characteristic of case management as a method of healthcare delivery? D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. Crop insurance to protect against the effects of summer storms. F) Competition among hospitals has further fueled the increase in health costs. 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. 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. D. Landslides rarely affect agricultural property. Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). Marcos and his horse will lead the tyler fourth of july parade. D. Large-scale disasters affecting livestock never have serious implications for State revenues. C) education and income. Which of the following statements about the nursing process is true. A) primary care B) respite care C) bereavement care D) palliative care, 12. withdrawn to cover qualified medical expenses is tax-free. llegar a tiempo PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. 26. Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. What managed care means? a. Which of the following statements is/are correct regarding the humane care of animals in disasters? 2.18) In 2007, how much of the world's population relied on alternative medicine? Find answers to the next exam here: FEMA IS-120.C: An Introduction to Exercises Answers. Laws, rules, social conventions and norms are all examples of institutions. Select all that apply. Which of the following statements correctly describe liability issues in disasters? e. . Which of the following statements accurately describes an aspect of home healthcare? D. All of the above. b. Which of the following is a characteristic of primary healthcare? Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? . 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. a. Health plans also use HEDIS results themselves to see where they need to focus their improvement efforts. es necesario el capitn hacerun anuncio These organizations must take care to use their resources in support of a charitable purpose.Start a Nonprofit Organization in Ohio 3 Pursuant to Ohio Revised Code Section 1745.51, if a statement of an unincorporated nonprofit association is on file with the Secretary of State, then upon adopting a voluntary resolution of dissolution, a copy of . efficient and lower cost manner. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. D) There is only one supplier for all units of a particular product. 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? 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). Which of the following statements is correct about the behavior of landslides? Many scholars consider a coup successful when the usurpers seize and hold power for at least . B. A. Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. Fixed-price reimbursement is a feature of managed care. c. C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. Once you have chosen a verb, write the correct! 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 NOT relevant to the care of animals in floods? A. I. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. Which of the following statements iscorrectregarding heat stress in livestock? perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; which of the following statements describes managed care? A) The contribution rate isfixed, but the retirement benefit is not known in advance. d. Network model 17. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. B. The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. C. Only if flowing water is above your waist is it too high to cross. Cambodia Crime. Costs from animal disease outbreaks include loss of production andreplacementof animals. C) Reimbursement is usually based on fee-for-service. In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? Which of the following statements regarding thunderstorms is correct? C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. 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 Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. Peer review organizations (PROs). 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. 1. 16. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). True or false? 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. The term "managed care" is used to describe a type of health care focused on helping to reduce costs, while keeping quality of care high. Which of the following statements apply to the transportation of livestock? 2.4) Which of the following best describes the process of screening in the medical office setting? C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. Freedom from a Foreign Animal Disease in a country (such as Foot and Mouth Disease) usually includes being free of clinical disease and vaccinating against the disease. 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? 29. 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. Relationships are not critical in the delivery of health services. A) They actively recruit vulnerable populations. They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. 4) Which of the following statements about retirement ages in pension plans is (are) true? b. D. The USDA responds to disasters that threaten national food production, processing and distribution. e. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. A) Managed care systems control the cost of care with a lower quality of care. 5. Which of the following statements best describes this system? Even though managed care. 9. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA).

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