Which of the following statements accurately describe an aspect of managed care? C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. 11. B. 24 Health maintenance organization (HMO) 8. B) The care of the patient is carefully planned and monitored by the primary care provider. Do you think Krauthammer fairly characterizes libertarian thinking? 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? Most employees are covered under some form of managed care plan. A triple option plan provides patients with more choices than a traditional managed care plan. A. Livestock agriculture is more widely dispersed than ever before. Which of the following statements would be most appropriate for the nurse to make? The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). 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. 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. B) The contribution rate is fixed, and the retirement benefit is known in advance. POS enrollees pay less if they use the plan's in-network providers. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. Costs from animal disease outbreaks include loss of production andreplacementof animals. 3. Study Resources. withdrawn to cover qualified medical expenses is tax-free. True or false? It has. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . managed care. Specialty Pharmacy J. Industry/Manufacturing. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Which of the following statements is correct about the behavior of landslides? Showing A. Who would be most likely to teach the classes? The owner of an escaped animal may be held liable for damages his/her animal creates. A. C. Reducing personal water usage helps reduce the impact of droughts. 2.8) Which of the following best describes the type of medical office practice in which providers network to offer discounts to employers and other purchasers of health insurance? The NCQA began accrediting managed care programs in 1991 when a need for consistent, independent information about the quality of care provided to patients was originally identified. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). Peer review organizations (PROs). A grade school is preparing a series of classes on the dangers of smoking. of B. Solved Question 69 (1 point) Which of the following | Chegg.com B. This idea supports which of the following economic theories for which Rawles was a proponent? C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. 18. A mutual fund is required to use the services of a mutual fund custodian. Which of the following statements is/are correct regarding the humane care of animals in disasters? 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 . D) Risk management is a spontaneous response to an unexpected incident. a. Examples of health care cost containment in the 1980s included: Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. 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. C) The nurse is considered the "gatekeeper" in the managed care system. 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. 2.19) Who best knows the patient's body and financial situation? 5. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. 2.7) How many years of a residency program is required for newly graduated M.D.s choosing to specialize in family practice, internal medicine, or pediatrics? PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. 11. Which of the following statements accurately describe an aspect of managed care? B. 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 . D. All of the above. 23. 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. Es el medioda y t tienes hambre. Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. 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. A) A PPO is a group of health care providers, such as doctors, hospitals, and ambulatory health care organizations, that contracts with a group to provide their services. Ch. 3 Managed Health Care Flashcards | Quizlet 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. Under the auspices of its Health Care Reform Program, established in July 1993, The Commonwealth Fund is focusing on the need to expand knowledge about managed care organizations. an organized effort by health plans and providers to use financial incentives and organizational. Which of the following statements best describes an integrated delivery system? es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad a. a. 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 __________. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. which of the following statements describes managed care? The term "managed care" is used to describe a type of health care focused on helping to reduce costs, while keeping quality of care high. B. Thunderstorms and their consequences are common, but rarely create problems. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. 19. 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? d. Which of the following statements about risk management is true - Weegy 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. c. Which of the following is a natural consequence of utilitarian forms of health care financing? 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. These include provider networks, provider oversight, prescription drug tiers, and more. It lowers cost through the elimination of waste and excess. National Committee for Quality Assurance (NCQA). B. If services provided to subscribers cost more than the capitation amount, the physician loses money. which of the following statements describes managed care? 12. 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). 13. A. If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). 2.10) Which of the following best describes how alternative health therapies are being perceived? Patients do not need to be well informed about the financial benefit issues that affect the provision of care. Qu haces t? A home healthcare agency providing care in a local community is supported by the United Way and local donations. Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. c. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. 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. Health maintenance organizations (HMOS) manage patient health care services by expending a monthly capitation amount paid by a third-party payer. The Incident Command System provides a consistent method to respond to all types of emergencies. prestar mucha atencin. Which of the following phrases best describes hospitals today? c. 2.13) Which of the following best describes the purpose of managed care? B. C. In most States, Good Samaritan Laws do not directly apply to the care of animals. Which of the following statements accurately describes the clinical nurse leader (CNL)? ayudar a los otros pasajeros A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. 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. A. Utilitarian theories Tax-exempt account that is used to pay for health care expenses. 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 is true of long-term care facilities? Patients should be well informed about care and treatment options. Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. D. The USDA responds to disasters that threaten national food production, processing and distribution. managed care. B. B. 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. All of the above. utilization review organization (URO), third-party administrator (TPA). Documentation of ownership may be needed to reclaim a lost animal. 92) Which of the following best describes vendor managed inventory? HMO C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Brace anchor all tall or top-heavy objects. A. Disasters can be a threat to animal well-being. which of the following statements describes managed care? What is one responsibility of nurses who work in physicians' offices? F) Planning and monitoring are conducted to ensure standards are followed. (B) Give the symmetry number for each of the following molecules: I. Essay: Managed Care: Promise and Concerns | Health Affairs Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? b. 20. A. (A) Give the symmetry number for each of the following molecules: iwi galil ace rs regulate; pedestrian killed in london today; holly woodlawn biography; how to change icon size in samsung s21; houston marriott westchase What is Managed Care? | Cigna managed care plans because of restrictions placed upon their freedom to treat patients. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. A) physical therapist C) social worker B) speech therapist D) respiratory therapist, 15. Select all that apply. 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. View the full answer. 14. How would the nurse respond? Son las diez de la noche y nosotras estamos cansadas. A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. Which of the following statements is correct regarding floods? Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance. D. All of the above. 2.17) Approximately how many boutique operations are there in the United States? 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. Storing patient care information: All of the primary purposes of the health record are associated directly with the provision of patient care services. A) Managed care systems control the cost of care with a lower quality of care. llegar a tiempo In Canada, almost all people are insured against the cost of all hospital and physician expenses through a government health insurance program. b. a condition in which the nasal septum strays from the midline of the nasal cavity, c. a chronic bacillus infection that usually affects the lung and is caused by a mycobacterium, d. an inflammation of the mucous lining of the larynx, e. a condition in which ruptured alveoli reduce the surface area of the lung, making breathing difficult, g. an obstructive disorder characterized by recurring spasms of the smooth muscles of the bronchi, i. an inflammation or infection of the pharynx, j. a disease characterized by a lack of surfactant in the alveoli; usually occurs in premature infants. PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. True: Name 3 of the primary purposes of the health record. A. precertification. Continuing Healthcare Funding issues - why isn't it simple to apply? A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. 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. B. FEMA helps States by reviewing and coordinating State emergency plans. Which of the following statements iscorrectregarding heat stress in livestock? B. June 30, 2022 . HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. 5) Which of the following statements describes a defined. The local Department ofAnimal Controlis the legal entity in most communities to deal with abandoned and lost animals. 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. Solved Which statement best describes the author's view of | Chegg.com A. HMOS often require a copayment (or copay), which is a fee paid by the patient to the provider at the time health care services are rendered. a) managed care. Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? 3) What are the minimum age and service requirements that can be imposed on employees eligible to participate, A) age 18 and 6 months of service B) age 21 and 1 year of service, C) age 21 and 3 years of service D) age 25 and 4 years of service. Ch. 8 Community Health Practice Questions Flashcards | Quizlet 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. 3. 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). Usually, all ambulatory services are provided within HMO corporate buildings. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. which of the following statements describes managed care? In each of the given sentences, underline the subordinate clause. 10. es necesario el capitn hacerun anuncio 8-10.doc - 1. Which of the following statements accurately describe an A. Accreditation organizations develop standards (requirements) that are reviewed during a survey (evaluation) process that is conducted both offsite (e.g., managed care plan submits an initial document for review) and onsite (at the managed care plan's facilities). 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. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. 28. Which of the following statements describes appropriate procedures for dealing withanimal health/disease? Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. 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 B. I. Most managed care financing is achieved through a method called capitation, and enrollees are assigned to or select a primary care provider who serves as the patient's gatekeeper. B. 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. Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. 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. Ms. A Chap 1-4 Flashcards - Cram.com Juan trabaja de asistente de vuelo y habla con los pasajeros. 1. Per the PPACA, employees are permitted to carry over up to $500 of unspent funds remaining in the FSA at the end of the year. Which of the following statements accurately describes disaster assistance? 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. 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). 51) Which of the following statements about managed care plans is (are) true? All of the highly compensated employees are covered by the, plan. A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. 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. Health risk assessment instruments (surveys) and resources are also available to subscribers. 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. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. A. 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 If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. 9. D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" 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. A variety of measures can be used; measures may be simple or complex; it is recommended that measures be straightforward, understandable, and valid. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A 8-10 - 1. Which of the following statements accurately describe an c. proximal carpals 20. A) Managed care systems control the cost of care with a lower quality of care. Escriba lo que dice. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Many scholars consider a coup successful when the usurpers seize and hold power for at least . Exam 1 Review Questions Flashcards by Cam Bui | Brainscape Yo almuerzo_______ (almorzar-entender) en la cafetera. Unused balances "roll over" from year to year; if an employee changes jobs, he or she can continue to use the HSA to pay for qualified health care expenses. 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. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. Even though managed care. Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? A. 1. Describe the three levels of Sumerian society. 22. [Solved] Which of the Following Statements Describes Managed Care It lowers cost through the elimination of waste and excess. (The catastrophic limit is usually higher than those common in other plans.) Select all that apply. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. It aims toward lower premiums and preventive care benefits. Which of the following is a characteristic of primary healthcare? b.Health insurance payments and co-pays must be proportional to income. 2.4) Which of the following best describes the process of screening in the medical office setting? The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). The _______ serves as a gatekeeper by providing essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists. 5. Which of the following correctly describes the role of the USDA in disasters? A) The contribution rate is fixed. fee-for-service. 17. Crop insurance to protect against the effects of summer storms. Premiums and other revenue are paid to the HMO. Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. Which of the following statements iscorrectregarding snow fall? HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. This question suggests which of the following? It is attentive to the needs of the membership group and individual patients. 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. 16. horse hind leg tendon sheath. Which of the following statements about managed funds is NOT correct? A. 1. Individual Practice Association (IPA) HMO Network Model HMO. 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. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice Most countries charge a tax on an individual's income as well as on corporate income. Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. Which of the following statements iscorrectregarding the disposal ofcarcasses?