which of the following statements describes managed care?

Most countries charge a tax on an individual's income as well as on corporate income. What is the confusion that might arise concerning her treatment and care is a problem known as? B. Which of the following statements arecorrectregarding injuries and damages that result from earthquakes? She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. A. 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. prestar mucha atencin. b.Health insurance payments and co-pays must be proportional to income. B. She explains that a reoccurring rash on her legs has been bothering her, and her provider wants the other doctor to examine the rash and treat her if possible. 2.14) Mrs. J. has just seen her provider. Which of the following is true of long-term care facilities? 22. C) education and income. Select all that apply. an organized effort by health plans and providers to use financial incentives and organizational. 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. Proper watershed, forest, and rangeland management is effective mitigation against droughts. C) The patient gets the bill and pays out-of-pocket costs. C. Reducing personal water usage helps reduce the impact of droughts. The most common health plans available today often include features of managed care. D. All of the above. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. Health care is provided by individuals who are not employees of the HMO or who do not belong to a specially formed medical group that serves the HMO. b. The only loss in disasters is to affected farms. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. yo poner sus cosas debajo del asiento 4. Exclusive provider organization (EPO) patients must receive care from participating providers, which can include emergency departments at participating hospitals, or they pay for all costs incurred. Each line when completed, should have three words similar in meaning. A. e. D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. which of the following statements describes managed care? C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. C. Emergency managers are responsible for finding the owners of all lost animals. B. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. 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. D. All of the above. Select one: O a. 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. CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. 2.19) Who best knows the patient's body and financial situation? Qu haces t? Expert Help. Answer: 20. Which of the following statements is correct regarding disasters? Which of the following statements about managed care are true? Additional paperwork for specialists to complete and the filing of treatment and discharge plans 18. Explain whether or not scientific methods are sets of procedures that scientists follow. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. Definition. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report These include provider networks, provider oversight, prescription drug tiers, and more. to Up-to-date lists of special administrative procedures required by each managed care plan contract Which of the following statements best describes an integrated delivery system? B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. 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. Purchasing a generator as an alternative power supply. a. 4. A. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. A home healthcare agency providing care in a local community is supported by the United Way and local donations. Step-by-step explanation D. All of the above. 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). Which of the following statements describe effective operations in disasters? Which of the following statements is correct regarding the identification of animals in disasters? Patients should be well informed about care and treatment options. Never tie an animal up if floods are pending. Select all that apply. A. A man is scheduled for hospital outpatient surgery. which of the following statements describes managed care? In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. A. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. A. ICT also includes analog technology, such as paper communication, and . ayudar a los otros pasajeros It has. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. 30. Why is this plan called a third-party payer? A patient has a private insurance policy that pays for most healthcare costs and services. Which of the following statements about the history of home healthcare nursing is most accurate? Providers are employees of the organization. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? 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. 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. Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. Also write ELL above each elliptical clause. 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? B) The family of the patient is required to pay costs. Health Savings Account (HSA); Health Savings Security Account (HSSA). Then, identify each adjective clause as essential (E) or nonessential (N). universal health insurance. Even though managed care. results. utilization review organization (URO), third-party administrator (TPA). 19. Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. B. The group plan will pay a portion of the employee's expenses B. e. Staff model B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. A. 6. 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. iwi galil ace rs regulate; pedestrian killed in london today; holly woodlawn biography; how to change icon size in samsung s21; houston marriott westchase The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! 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? D) Medicare and Medicaid will pay most of the costs. 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. Which of the following statements about the nursing process is true. 13. Which of the following statements accurately describe an aspect of managed care? C. In most States, Good Samaritan Laws do not directly apply to the care of animals. In contrast, traditional health insurance coverage is usually provided on a fee-for- service basis in which reimbursement increases if the health care service fees increase, if multiple units of service are provided, or if more expensive services are provided instead of less expensive ones (e.g., brand-name versus generic prescription medication). 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. HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. 28. Group model 8. A person receiving healthcare insurance from his employer knows that he should check the approved list of contracted healthcare providers before seeking services in order to receive them at a lower cost. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. In economic terms, taxation transfers wealth from households or businesses to the . 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). trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. A managed care organization (MCO) is responsible for the health of its enrollees, which can be administered by the MCO that serves as a health plan or contracts with a hospital, physician group, or health system. Which of the following are effective MITIGATION (reduction, prevention) activities for farms? D. The USDA responds to disasters that threaten national food production, processing and distribution. es importante los pasajeros seguir las instrucciones de seguridad If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. A) Managed care systems control the cost of care with a lower quality of care. Study Resources. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . A) The contribution rate is fixed. 3. Showing In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. A. Livestock are resistant to heat stress. C) Reimbursement is usually based on fee-for-service. 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 . c. The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. This type of economic structure best describes which of the following? 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. (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? c. A. A. e. Managed care programs have been successful in containing costs and limiting unnecessary services, resulting in the current trend for health care plans to offer the SSO as a benefit, not a requirement. A triple option plan provides patients with more choices than a traditional managed care plan. A) do their job and do it well B) refuse to participate in organizations C) support legislation to improve care D) become a member of a support group, Julie S Snyder, Linda Lilley, Shelly Collins. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. All definitions of institutions generally entail that there is a level of persistence and continuity. D. Heat stress in animals only occurs under conditions of extreme heat. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? Select all that apply. fee-for-service. A. B. What type of insurance is most likely involved? C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. 1. Once you have chosen a verb, write the correct! Hazardous materials released during floods will flow away with the water. combines health care delivery with the financing of services provided. Which of the following statements accurately describe an aspect of managed care? You ask her the reason for seeing her provider. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. A. Which of the following statements best describes this system? B) Employer contributions are deductible up to certain limits as an ordinary business expense. A ) . 7. 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. B) Risk management is concerned with reducing exposure to legal liability. 17. II. 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 A) the healthcare institution itself C) American Medical Association B) Board of Healing Arts D) State Board of Nursing, 14. HMO B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? The traditional health care system in the United States is: Which of the following statements iscorrectregarding a Foreign Animal Disease outbreak? 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. is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. "Don't drop out of school." b. 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. e. D. All of the above. c. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice Examples of health care cost containment in the 1980s included: Which of the following statements correctly describe liability issues in disasters? Which of the following statements characterizes effective disaster preparedness plans? B) The care of the patient is carefully planned and monitored by the primary care provider. B. 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. Course Hero is not sponsored or endorsed by any college or university. a. 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? B. a. A. Which of the following organizations provides independent, impartial assistance in more than 60 countries to people whose survival is threatened by violence, neglect, or catastrophe, primarily due to armed conflict, epidemics, malnutrition, exclusion from health care, or natural disasters? In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? Documentation of ownership may be needed to reclaim a lost animal. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. Professional standards review organizations (PSROs). Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. In return, individuals assume significantly higher cost-sharing expenses after the designated amount has been expended. Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. 4. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. D. All of the above. And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. all of the above. I. The federal _________ plan requires managed care plans that contract with Medicare or Medicaid to disclose information about ________ plans to CMS or state Medicaid agencies before a new or renewed contract receives final approval. Tax-exempt account that is used to pay for health care expenses. A. Medicare was established in 1965 under Title XVIII of the Social Security Act as a federal health insurance program for individuals age 65 and older, regardless of income or health status. A) The contribution rate is. How would the nurse respond? C. Emergency loans from the USDA in disasters are managed by the Farm Service Agency. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. a. which of the following statements describes managed care? 92) Which of the following best describes vendor managed inventory? A) The U.S. healthcare system has been experiencing a financial crisis. 2.13) Which of the following best describes the purpose of managed care? Case managers do not use the nursing process. Which of the following terms best describes this type of healthcare setting? 12. Health care services are provided to subscribers by physicians employed by the HMO. A. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. Describe the three levels of Sumerian society. He tells the nurse, "I don't know what that word, outpatient, means." 2.6) Which of the following best describes the alternative medicine modality of homeopathy? If services provided to subscribers cost more than the capitation amount, the physician loses money. Personal preparedness is rarely effective at minimizing losses from disasters. It is necessary for it to be raining to be struck by lightning. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Cash values are a result of the level premium method of purchasing life insurance. 14. c. Which of the following statements accurately describes disaster assistance? Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. a. proximal radius D. All of the above. establishes a contract that allows physicians to maintain their own offices and share services (e.g., appointment scheduling and billing).

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which of the following statements describes managed care?