which of the following statements describes managed care?

A) The contribution rate is. c.Health insurance must be This problem has been solved! 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 . B. 23. C) Reimbursement is usually based on fee-for-service. universal health insurance. Find answers to the next exam here: FEMA IS-120.C: An Introduction to Exercises Answers. withdrawn to cover qualified medical expenses is tax-free. 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. Which of the following statements accurately describe an aspect of managed care? 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. 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. 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. 1. 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 . The nurse in charge of the clinic asks herself, "Who needs this medicine most?" C) The contribution rate is, variable, and the retirement benefit is not known in advance. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. 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? Individual Practice Association (IPA) HMO Network Model HMO. If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). 4) Which of the following statements about retirement ages in pension plans is (are) true? Select one: O a. Definition. 4. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. A. Describe the three levels of Sumerian society. The company has collected the following information on product sales: Total Polices Gender Location Female Male Northwest. 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? Staff Model HMO C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. D) Medicare and Medicaid will pay most of the costs. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. 22. B. D. All of the above. ), State insurance departments, state commerce or departmenf of cooperations. Select all that apply. 13. A. In outbreaks reported from acute care settings in the U.S. following implementation of unive. combines health care delivery with the financing of services provided. Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. Which of the following statements best describes an integrated delivery system? 2.13) Which of the following best describes the purpose of managed care? B. FEMA helps States by reviewing and coordinating State emergency plans. trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. 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. If livestock raised for human consumption are removed from a farm, care must be taken that the animals are not exposed to diseases or hazardousmaterialsthat could threaten the human food supply. Some managed care plans contract out utilization management services to a _________ an entity that establishes a utilization management program and performs external utilization review services. es mejor todo el mundo tomar su asiento en seguida c. proximal carpals A. Floodwaters are frequently contaminated with hazardous chemicals. It is necessary for it to be raining to be struck by lightning. 2.10) Which of the following best describes how alternative health therapies are being perceived? Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. C. Practice a fire drill every month throughout the fire season. 14. You ask her the reason for seeing her provider. If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. Nurses who are employed in home care have a variety of responsibilities. Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days 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. 6. Which of the following statements iscorrectregarding the disposal ofcarcasses? Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. What is one responsibility of nurses who work in physicians' offices? HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. b.Health insurance payments and co-pays must be proportional to income. II. A. but the retirement benefit is not known in advance. A. Triple option plan. What type of agency is this? A. precertification. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. 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. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. 15. 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. 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. fern storage cabinet anthropologie / normaliser un vecteur propre / normaliser un vecteur propre What is the pressu re at the bottom of the water layer? 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. 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 accurately describes an aspect of home healthcare? A mutual fund is required to use the services of a mutual fund custodian. Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. C) education and income. 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. Which of the following phrases best describes hospitals today? C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. All definitions of institutions generally entail that there is a level of persistence and continuity. A. These include provider networks, provider oversight, prescription drug tiers, and more. A) primary care B) respite care C) bereavement care D) palliative care, 12. Marcos and his horse will lead the tyler fourth of july parade. Up-to-date lists of special administrative procedures required by each managed care plan contract 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? "Don't drop out of school." b. (sometimes called a participating provider organization) is a managed care network of physicians and hospitals that have joined together to contract with insurance companies, employers, or other organizations to provide health care to subscribers for a discounted fee. d. distals carpals, Use the integral test to find whether the following series converge or diverge. Tax-exempt accounts that are offered by employers with 50 or more employees, which individuals use to pay health care bills. 6. What is the confusion that might arise concerning her treatment and care is a problem known as? B. Deontological theories 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. 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. 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. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. Which of the following statements iscorrectregarding hurricanes? 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. C) The nurse is considered the "gatekeeper" in the managed care system. Cambodia Crime. B) The care of the patient is carefully planned and monitored by the primary care provider. 2.17) Approximately how many boutique operations are there in the United States? all of the above. C. Emergency loans from the USDA in disasters are managed by the Farm Service Agency. Which of the following statements is correct about the behavior of landslides? B. B) The cost of healthcare in the United States has decreased dramatically. Contracted health care services are delivered to subscribers by individual physicians in the community. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. Relate What evidence indicates that oceans formed early in Earth's geologic history? Provide quality health care while containing costs. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. A) The contribution rate isfixed, but the retirement benefit is not known in advance. Which of the following statements correctly describe liability issues in disasters? Which of the following statements iscorrectregarding droughts? D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? Select all that apply. c. Individual (or Independent) practice association (IPA) Yo almuerzo_______ (almorzar-entender) en la cafetera. 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 correctly describes the role of the USDA in disasters? 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. D. Large-scale disasters affecting livestock never have serious implications for State revenues. 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. d. which of the following statements describes managed care? perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; plans, which reimburse providers for individual health care services rendered, managed care is financed according to a method called capitation, where providers accept preestablished payments for providing health care services to enrollees over period of time (usually one year). A) They actively recruit vulnerable populations. What are DRGs? Many scholars consider a coup successful when the usurpers seize and hold power for at least . Group model Although you will first check with her provider, you are sure she is to see which of the following? 8. (A) Give the symmetry number for each of the following molecules: D) There is only one supplier for all units of a particular product. If livestock raised for human consumption are removed from a farm, care must be taken that the animals are not exposed to diseases or hazardousmaterialsthat could threaten the human food supply. D) profession and income. A grade school is preparing a series of classes on the dangers of smoking. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? C) The nurse is considered the gatekeeper in the managed care system. d. A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. Which of the following statements about risk management is true? 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 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. 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. Premiums and other revenue are paid to the HMO. d. A. C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. Providers are employees of the organization. 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. Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. b. Utilitarian theories The Incident Command System provides a consistent method to respond to all types of emergencies. A. A. Which of the following statements accurately describes the activation of federal agencies in disasters? Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. A) locally supported healthcare financing, usually by donations B) a public assistance program for low-income individuals C) predetermined payment for services based on medical diagnoses D) a private insurance plan for subscribers who pay a copayment. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. C. Disasters are declared starting at the local, then state, then federal level. 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). The use of an out-of-area contact can be an effective way to coordinate in disasters. F) Planning and monitoring are conducted to ensure standards are followed. What type of care might the nurse suggest to give her some much-needed time of her own? I. Why is this plan called a third-party payer? B. d. 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. Which of the following statements accurately describes the clinical nurse leader (CNL)? PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. Health care services are provided to subscribers by physicians employed by the HMO. D. The USDA responds to disasters that threaten national food production, processing and distribution. results. B. Because a ________ would have the practical effect of prohibiting a physician from giving a patient the full range of advice and counsel that is clinically appropriate, it would result in the managed care plan not providing all covered Medicare services to its enrollees, in violation of the managed care plan's responsibilities. b. F) Competition among hospitals has further fueled the increase in health costs. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. . 25. 29. Which of the following statements is correct regarding floods? Which of the following phrases is characteristic of case management as a method of healthcare delivery? a. True or false? (The catastrophic limit is usually higher than those common in other plans.) a. managed care. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. A ) . I. Patients should be well informed about care and treatment options. Which of the following is NOT relevant to the care of animals in floods? B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. B) epidemiology. In return, individuals assume significantly higher cost-sharing expenses after the designated amount has been expended. A. c. An elderly woman has total care of her husband with Alzheimer's disease. Damage from mudflows cannot be covered by insurance. 5. Juan trabaja de asistente de vuelo y habla con los pasajeros. 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. The early retirement age is the earliest age at which an employee can. . Healthcare Effectiveness Data and Information Set (HEDIS). Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. Brace anchor all tall or top-heavy objects. What is the primary focus of healthcare today? Which of the following statements iscorrectregarding heat stress in livestock? 2.4) Which of the following best describes the process of screening in the medical office setting? plans emphasize cost control, total health benefit costs continue to increase. B. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. 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. D. All of the above. 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. D. Animals will frequently resist walking through flowing water. b. distal radius 24. a. Exclusive provider organization (EPO) e. Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. II. Most employees are covered under some form of managed care plan. Never tie an animal up if floods are pending. State disaster declarations can only be made when more than one community is affected.

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