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

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. Providers are employees of the organization. Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? 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. B. 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. Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days Patient care delivery 2. The National Committee for Quality Assurance (NCQA) evaluates managed care organizations. 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 all of the above. The owner of an escaped animal may be held liable for damages his/her animal creates. Which of the following best describes vendor managed - Course Hero a. do australian shepherds have a good sense of smell; matan adelson net worth; words that rhyme with crime; fattmerchant customers; shoulder holster for ruger lcrx 3 inch barrel When disasters affect many livestock farms in a county it is unlikely that this will represent a significant loss to the countys tax base. fee-for-service. Which of the following phrases best describes hospitals today? 28. D) profession and income. B) genetics and income. Es el medioda y t tienes hambre. Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. combines health care delivery with the financing of services provided. Select all that apply. Nurses who are employed in home care have a variety of responsibilities. D. All of the above. 7. C) The nurse is considered the "gatekeeper" in the managed care system. A) physical therapist C) social worker B) speech therapist D) respiratory therapist, 15. B. Then, identify each adjective clause as essential (E) or nonessential (N). Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. Yo almuerzo_______ (almorzar-entender) en la cafetera. Proper watershed, forest, and rangeland management is effective mitigation against droughts. (Network providers are usually reimbursed on a fee-for-service basis. What is one way in which nurses can help shape healthcare reform? Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). 24 C. Disasters are declared starting at the local, then state, then federal level. 19. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. 3. Purchasing a generator as an alternative power supply. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. B. Select all that apply. Annual physical examinations are encouraged for the early detection of health problems. Ch. 8 Community Health Practice Questions Flashcards | Quizlet Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. 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. A. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad 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. 2.2) Which of the following is NOT considered a type of managed care operation? 16. Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice The economics of Country A support the rights of property and liberty for each person and allow each citizen to improve life circumstances by his or her own effort. A ) . ), State insurance departments, state commerce or departmenf of cooperations. It has. Most natural disasters affect local communities least of all. 3. D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. b. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. 2.12) Which of the following does not apply to the role of a medical assistant? 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. 21. Select all that apply. Select one: O a. Describe the three levels of Sumerian society. A. an organized effort by health plans and providers to use financial incentives and organizational. Showing 8-10 - 1. Which of the following statements accurately describe an define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. 9. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. An elderly woman has total care of her husband with Alzheimer's disease. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. 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. D. A good time to check your window shutters and supply of boards, tools, batteries, nonperishable foods, bottled water, and other equipment is during a hurricane watch. D. The USDA responds to disasters that threaten national food production, processing and distribution. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? results. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. Communitarian theories. 30. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. What is Managed Care? | Cigna 3. a) managed care. Which of the following statements accurately describes an aspect of home healthcare? A. Livestock are resistant to heat stress. Do you think Krauthammer fairly characterizes libertarian thinking? The only loss in disasters is to affected farms. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Storing patient care information: All of the primary purposes of the health record are associated directly with the provision of patient care services. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Which of the following statements about managed funds is NOT correct? 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. 2.14) Mrs. J. has just seen her provider. What managed care means? 4. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Which of the following is a characteristic of primary healthcare? Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. 8. 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. include payments made directly or indirectly to health care providers to encourage them to reduce or limit services (e.g., discharge an inpatient from the hospital more quickly) so as to save money for the managed care plan. Which of the following statements about the nursing process is true. In the following sentences, circle each incorrectly used lowercase letter. D. All of the above. It aims toward lower premiums and preventive care benefits. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. Which of the following terms best describes this type of healthcare setting? Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. c. If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. What population do hospice nurses provide with care? If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). B. Cash values are a result of the level premium method of purchasing life insurance. A) the healthcare institution itself C) American Medical Association B) Board of Healing Arts D) State Board of Nursing, 14. which of the following statements describes managed care? A grade school is preparing a series of classes on the dangers of smoking. which of the following statements describes managed care? A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. Although you will first check with her provider, you are sure she is to see which of the following? In outbreaks reported from acute care settings in the U.S. following implementation of unive. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? 26. These range from structured staff model HMOS to less structured preferred provider organizations (PPOS). What are DRGs? B) Risk management is concerned with reducing exposure to legal liability. Faculty of English Commerce Ain Shams University, Ajman University of Science and Technology Ajman), BSBLDR403 Lead team effectiveness Assessment 2.docx, SELECT CURTIME SELECT CURTIME 0 HOUR time Returns the hour for time This code, 32 Extraction of data Data extraction improves strategies for incorporating, It is convenient to subdivide the receiver into two parts the demodulator and, The_Impact_of_Financial_Structure__Financial_Leverage_and_Profitability_on_Industrial_Companies_Shar, designates subordinate commanders to serve as joint functional component, Tutorial 5-Midterm RUBRIC-Feb 27[3643].pdf, existence of this power to increase sentences since legislation now provides for, 534 Consultation Status after Flare up The study also collected data on whether, private station rather than have had the glories of command If indeed such, through-the-cognitive-functions-lens-a-socio-technical-analysis.pdf, Which of the following statements about life insurance cash values is (are) true? Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. Correctly identify disorders of the wrist. Which of the following statements accurately describes the clinical nurse leader (CNL)? 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? d. C) The nurse is considered the "gatekeeper" in the managed care system. C) The patient gets the bill and pays out-of-pocket costs. C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. 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. D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. Countries or subunits often also impose wealth taxes, inheritance taxes, estate taxes, gift taxes, property taxes, sales taxes, use taxes, payroll taxes, duties and/or tariffs . 27. A. Livestock agriculture is more widely dispersed than ever before. 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 Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. B. D. Heat stress in animals only occurs under conditions of extreme heat. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. e. Staff model C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. D) Pension benefits attributable to the employer, s contributions are not taxed until the employee retires or, 2) Beta Corporation has 1,000 employees eligible to participate in the firm, employees are considered highly compensated. es necesario el capitn hacerun anuncio It is a system that is based on patient and provider autonomy. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Solved 25. Which of the following statements about managed - Chegg A) primary care B) respite care C) bereavement care D) palliative care, 12. d. 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? A risk pool is created when a number of people are grouped for insurance purposes (e.g., employees of an organization); the cost of health care coverage is determined by employees' health status, age, sex, and occupation. I. C. Disasters are declared starting at the local, then state, then federal level. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. C. Construction of a new barn at a site above a floodplain. Medicare established the __________ to ensure the accountability of managed care plans in terms of objective, measurable standards (requirements). Relate What evidence indicates that oceans formed early in Earth's geologic history? 25. 2.17) Approximately how many boutique operations are there in the United States? a payment system based on Diagnosis related groups (DRGs). A. Relationships are not critical in the delivery of health services. D. The USDA responds to disasters that threaten national food production, processing and distribution. 10. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. which of the following statements describes managed care? 20. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Select all that apply. Which of the following statements iscorrectregarding heat stress in livestock? Managed care organizations (MCOS) impact a practice's administrative procedures by requiring: Separate bookkeeping systems for each capitated plan to ensure financial viability of the contract What is the confusion that might arise concerning her treatment and care is a problem known as? Unlike traditional fee-for-service. 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). In each of the given sentences, underline the subordinate clause. C. Only if flowing water is above your waist is it too high to cross. What type of agency is this? 53. immunizations and screenings included in benefits 54. A) The contribution rate isfixed, but the retirement benefit is not known in advance. Deontological theories Fixed-price reimbursement is a feature of managed care. Yet, segments of the health care system maintain aspects of a free-market competition. A) The U.S. healthcare system has been experiencing a financial crisis. plans emphasize cost control, total health benefit costs continue to increase. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. Which of the following statements describes cyberwarfare? Ch. 9: Other Health Insurance Concepts Flashcards | Chegg.com Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. C. Emergency managers are responsible for finding the owners of all lost animals. In economic terms, taxation transfers wealth from households or businesses to the . The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. Information and communications technology - Wikipedia A mutual fund is required to use the services of a mutual fund custodian. Which of the following statements are considerations for managed care organizations? 15. Tax-exempt accounts that are offered by employers with 50 or more employees, which individuals use to pay health care bills. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. 29. is a nonprofit organization that contracts with and acquires the clinical and business assets of physician practices; the _____ is assigned a provider number and manages the practice's business. 5. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. c. Insurance policy - Wikipedia es posible nosotros permanecer sentado(s) It lowers cost through the elimination of waste and excess. Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. 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. 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 . (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. D) Medicare and Medicaid will pay most of the costs. II. "Don't drop out of school." b. B. 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. 2.16) Twenty-five percent of urgent care patients do not have which of the following? a. 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. C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. B. Under extreme heat conditions, livestock require less than 10%body weightof water per day. Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). B. Thunderstorms and their consequences are common, but rarely create problems. Even though managed care. Son las diez de la noche y nosotras estamos cansadas. A. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? Many scholars consider a coup successful when the usurpers seize and hold power for at least . Free Clinical Skills Flashcards about Intro Final Exam What type of care might the nurse suggest to give her some much-needed time of her own?