which of the following statements describes managed care?

Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? Additional paperwork for specialists to complete and the filing of treatment and discharge plans In economic terms, taxation transfers wealth from households or businesses to the . For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. D. The USDA responds to disasters that threaten national food production, processing and distribution. D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. D. All of the above. Which of the following statements about risk management is true? 2. 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). Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? Which of the following statements accurately describe an aspect of managed care? A POS plan is not an HMO, but it is a managed care plan that combines the characteristics of an HMO and a preferred provider organization (PPO) (discussed below). c. which of the following statements describes managed care? Which of the following statements is correct about the behavior of landslides? A nurse in a walk-in healthcare setting provides technical services, such as, administering medications, determines the priority of care needs, and provides patient teaching on all aspects of care. If services provided to subscribers cost more than the capitation amount, the physician loses money. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Which of the following statements is correct regarding floods? Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. F) Competition among hospitals has further fueled the increase in health costs. single payer systems. A Colles fracture occurs at the: Which of the following phrases is characteristic of case management as a method of healthcare delivery? e. Staff model 6. Preferred provider organization (PPO) A. 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. 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. It aims toward lower premiums and preventive care benefits. 7. Explain whether or not scientific methods are sets of procedures that scientists follow. 2.10) Which of the following best describes how alternative health therapies are being perceived? The owner of an escaped animal may be held liable for damages his/her animal creates. A home healthcare agency providing care in a local community is supported by the United Way and local donations. 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. Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. D. Small amounts of snow never have devastating effects on a community. a. a. proximal radius ), State insurance departments, state commerce or departmenf of cooperations. fixed, but the retirement benefit is not known in advance. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. 19. 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. Which of the following statements about the nursing process is true. D. All of the above. 9. National Committee for Quality Assurance (NCQA). 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? 22. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. A ) . Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. The Healthcare Effectiveness Data and Information Set (HEDIS), sponsored by the National Committee for Quality Assurance, consists of performance measures used to evaluate managed care plans (e.g., rate of Pap smears performed among women of a certain age). Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. II. 11. Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. 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 payment system based on Diagnosis related groups (DRGs). A. 18. Group Model HMO D. All of the above. Which of the following statements arecorrectregarding injuries and damages that result from earthquakes? 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. II. Then, identify each adjective clause as essential (E) or nonessential (N). b. utilization review organization (URO), third-party administrator (TPA). Patients should be well informed about care and treatment options. iwi galil ace rs regulate; pedestrian killed in london today; holly woodlawn biography; how to change icon size in samsung s21; houston marriott westchase Which of the following statements about managed care are true? Select all that apply. Health risk assessment instruments (surveys) and resources are also available to subscribers. Documentation of ownership may be needed to reclaim a lost animal. The IPA is an intermediary (e.g., physician association) that negotiates the HMO contract and receives and manages the capitation payment from the HMO, so that physicians are paid on either a fee-for-service or capitation basis. 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. managed care plans because of restrictions placed upon their freedom to treat patients. (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. 2.17) Approximately how many boutique operations are there in the United States? Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. B. Personal preparedness is rarely effective at minimizing losses from disasters. Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. 7. Hazardous materials released during floods will flow away with the water. B. but the retirement benefit is not known in advance. a. 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. Without advertising income, we can't keep making this site awesome for you. Accreditation of Managed Care Organizations. A. Then, identify the type of clause by writing one of the following abbreviations above it: ADJ for adjective clause, ADV for adverb clause, or N for noun clause. 19694 Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. Exclusive provider organization (EPO) (The catastrophic limit is usually higher than those common in other plans.) C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. Which of the following statements iscorrectregarding hurricanes? Fixed-price reimbursement is a feature of managed care. Peer review organizations (PROs). This type of economic structure best describes which of the following? Proper watershed, forest, and rangeland management is effective mitigation against droughts. Managed care plans implement _______ as a method of controlling health care costs and quality of care. Which of the following statements is/are correct regarding the humane care of animals in disasters? Which of the following statements correctly describe liability issues in disasters? How would the nurse respond? Money deposited (and earnings) is tax-deferred, and money. C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Select all that apply. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? 26. June 29, 2022. A) Managed care systems control the cost of care with a lower quality of care. The nurse may make a referral to what member of the healthcare team? B) The care of the patient is carefully planned and monitored by the primary care provider. 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? horse hind leg tendon sheath. The Incident Command System provides a consistent method to respond to all types of emergencies. 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. D. Heat stress in animals only occurs under conditions of extreme heat. 2. A. B. es posible nosotros permanecer sentado(s) Animals that have recently moved from a warmer to a colder climate are at a greater risk of hypothermia than animals that have lived in a colder climate for longer periods. 1 . Describe the three levels of Sumerian society. 8. 2.18) In 2007, how much of the world's population relied on alternative medicine? Which of the following statements iscorrectregarding heat stress in livestock? Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. (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. A PPO is not an HMO, but it is similar to an HMO because it is a managed care plan that provides enrollees with discounted health care through a network of providers. Which of the following statements best describes this system? Federal legislation mandated that MCOS participate in quality assurance programs and other activities, including utilization management, case management, requirements for second surgical opinions, non-use of gag clauses in MCO contracts, and disclosure of any physician incentives. HSA stands for health savings account, and HSA-qualified plans can be HMOs, PPOs, EPOs, or POS plans. Utilitarian theories A. D. All of the above. 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. Which of the following statements describe effective operations in disasters? 2. Select all that apply. In the following sentences, circle each incorrectly used lowercase letter. 3. The Incident Command System provides a consistent method to respond to all types of emergencies. B. Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days d. A. Which of the following statements describes appropriate procedures for dealing withanimal health/disease? Unlike traditional fee-for-service. Patients' needs are assessed and prioritized. These range from structured staff model HMOS to less structured preferred provider organizations (PPOS). 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 an organized effort by health plans and providers to use financial incentives and organizational. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. Premiums and other revenue are paid to the HMO. B) epidemiology. D. Animals will frequently resist walking through flowing water. Patients should be well informed about care and treatment options. Which of the following statements regarding thunderstorms is correct? all of the above. 17. A. 1 Direct contract model 4. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. D. Floods are an uncommon cause of natural disaster in the United States. B) The cost of healthcare in the United States has decreased dramatically. B. 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 . 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. Which of the following statements iscorrectregarding a Foreign Animal Disease outbreak? A. [Solved] Which of the following statements describes managed care organizations? Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. d. Definition. The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. C. Reducing personal water usage helps reduce the impact of droughts. B. FEMA helps States by reviewing and coordinating State emergency plans. Professional standards review organizations (PSROs). Continuing Healthcare Funding issues - why isn't it simple to apply? Qu haces t? e. Which of the following statements will NOT reduce risks arising from wildfires? 3. View the full answer. 19. The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! Which of the following statements apply to the transportation of livestock? d. B) The care of the patient is carefully planned and monitored by the primary care provider. 5. A mutual fund is required to use the services of a mutual fund custodian. Up-to-date lists of patient copayments and fees for each managed care plan contract Special patient interviews to ensure preauthorization and to explain out-of-network requirements if the patient is self-referring Documentation of ownership may be needed to reclaim a lost animal. What is the minimum number of the 900 non, highly compensated employees who must be covered by the. Ice dams on roofs and large icicles are uncommon causes of building collapse. 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. B) The contribution rate is fixed, and the retirement benefit is known in advance. PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. 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. High-deductible insurance policy, which reimburses allowable health care expenses after the high deductible has been paid, Health care expenses are funded by insurance coverage; the individual selects one of each type of provider to create a customized network and pays the resulting customized insurance premium. U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. combines health care delivery with the financing of services provided. 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). C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. horse hind leg tendon sheath. D. All of the above. d. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. Which of the following is true of long-term care facilities? The marketing department is launching a new advertising campaign. It attempts to control costs by modifying the behavior of providers and patients. 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. C) The contribution rate is, variable, and the retirement benefit is not known in advance. 2.11) Concierge care does not offer patients which of the following? The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. B) The supplier maintains the inventory for the buyer. Which of the following statements iscorrectregarding the disposal ofcarcasses? Tax-exempt account that is used to pay for health care expenses. Disaster advice from the USDA is provided by the Cooperative Extension Service. c.Health insurance must be This problem has been solved! 92) Which of the following best describes vendor managed inventory? Juan trabaja de asistente de vuelo y habla con los pasajeros. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. which of the following statements describes managed care? withdrawn to cover qualified medical expenses is tax-free. B. b. 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? Which of the following best describes the connection between ethics and health care financing? Health Savings Account (HSA); Health Savings Security Account (HSSA). Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice Managed care plans emphasize cost controls and preventative care. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? C) Short- and long-term results of cost-containment measures are undetermined. Course Hero is not sponsored or endorsed by any college or university. B) The care of the patient is carefully planned and monitored by the primary care provider. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" Medicare and many states prohibit managed care contracts from containing_________, which prevent providers from discussing all treatment options with patients, whether or not the plan would provide reimbursement for services. B) genetics and income. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. 4. c. c. What is the pressu re at the bottom of the water layer? Local plans allow communities to integrate with state and federal response to disasters. Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. Which of the following statements correctly describes animal disease outbreaks? A) The contribution rate is fixed. of Managed care can now be categorized according to six models: 1. B. Medicare established the __________ to ensure the accountability of managed care plans in terms of objective, measurable standards (requirements). Health maintenance organization (HMO) . 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 __________. b. D) Risk management is a spontaneous response to an unexpected incident. ICT also includes analog technology, such as paper communication, and . A) the healthcare institution itself C) American Medical Association B) Board of Healing Arts D) State Board of Nursing, 14. Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations. Responsible for reviewing health care provided by managed care organizations. Which of the following statements accurately describe an aspect of managed care? Damage from mudflows cannot be covered by insurance. 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. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. managed care. What type of agency is this? It is the result of a joint venture between hospitals and members of their medical staff. A patient has a private insurance policy that pays for most healthcare costs and services. These include provider networks, provider oversight, prescription drug tiers, and more. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. 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. 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? 25. 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. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . C. Construction of a new barn at a site above a floodplain. 4. Step-by-step explanation 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. perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). Group model 2. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. True: Name 3 of the primary purposes of the health record. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. 12. A. 2.12) Which of the following does not apply to the role of a medical assistant? PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. [The work functions are Ta (6.811019J)\left(6.81 \times 10^{-19} \mathrm{~J}\right)(6.811019J), Ba(4.301019J)\mathrm{Ba}\left(4.30 \times 10^{-19} \mathrm{~J}\right)Ba(4.301019J), and W (7.161019J)\left(7.16 \times 10^{-19} \mathrm{~J}\right)(7.161019J); work function is explained . Which of the following statements iscorrectregarding droughts? A) Managed care systems control the cost of care with a lower quality of care. is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. The early retirement age is the earliest age at which an employee can. In each of the given sentences, underline the subordinate clause. Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). follow in the model. Usually, all ambulatory services are provided within HMO corporate buildings. What managed care means? B) Payment for services is integrated with delivery of services. is a private, not-for-profit organization that assesses the quality of managed care plans in the United States and releases the data to the public for consideration when selecting a managed care plan. I. Why is this plan called a third-party payer? b. A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. which of the following statements describes managed care? is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. Purchasing a generator as an alternative power supply. A. Which of the following are effective MITIGATION (reduction, prevention) activities for farms? Point-of-service plan (POS) Staff Model HMO how has dissection been used in engineering; which of the following statements describes managed care? The use of remedies made from naturally occurring plant, animal, or mineral substances. A. certificate of need programs. Integrated delivery system (IDS) Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. A patient who requires treatment for breast cancer is referred to an oncologist. B. 21. B. It aims toward lower premiums and preventive care benefits. Discontinued Capitation, adopted fee-for-service. Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites.