Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). D. Landslides rarely affect agricultural property. 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). 30. 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. 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. Which of the following statements about the history of home healthcare nursing is most accurate? e. C) education and income. B. C) education and income. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! 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 Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. The most common health plans available today often include features of managed care. Which of the following statements are considerations for managed care organizations? A mutual fund is required to use the services of a mutual fund custodian. trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. 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. A. E) The managed care system may required approval for specialty 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. 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. 2.11) Concierge care does not offer patients which of the following? Managed care plans implement _______ as a method of controlling health care costs and quality of care. 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. 19. The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. b. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice A. D. All of the above. B. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. a. Crop insurance to protect against the effects of summer storms. Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. Select all that apply. A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. It lowers cost through the elimination of waste and excess. Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. a. It is attentive to the needs of the membership group and individual patients. 24. B. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? A Colles fracture occurs at the: D) profession and income. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. fixed, but the retirement benefit is not known in advance. 2. Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. In outbreaks reported from acute care settings in the U.S. following implementation of unive. Correctly identify disorders of the wrist. Which of the following statements accurately describe an aspect of managed care? Which of the following statements accurately describe an aspect of managed care? Group model In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. I. Health plans also use HEDIS results themselves to see where they need to focus their improvement efforts. 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. Which of the following statements apply to the transportation of livestock? B) Risk management is concerned with reducing exposure to legal liability. National rivers, which are among the categories, are overseen by the bureau. Definition. Relationships are not critical in the delivery of health services. A. Livestock agriculture is more widely dispersed than ever before. Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. B. 8. A. 2.6) Which of the following best describes the alternative medicine modality of homeopathy? C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. 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. a. Possible Outcomes for Expected Value Damages, 2. 1. Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. 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? follow in the model. (A) Give the symmetry number for each of the following molecules: 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. A) The contribution rate isfixed, but the retirement benefit is not known in advance. Which of the following statements will NOT reduce risks arising from wildfires? HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. managed care. C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. Disaster advice from the USDA is provided by the Cooperative Extension Service. 2.13) Which of the following best describes the purpose of managed care? es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad 4. A. Managed care plans are a type of health insurance. which of the following statements describes managed care? 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. A home healthcare agency providing care in a local community is supported by the United Way and local donations. 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. 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). In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? 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. plan in order for the plan to satisfy the ratio test? Which of the following statements describes cyberwarfare? Deontological theories Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. Beginning in 2006, the Physician Quality Reporting System (formerly called Physician Quality Reporting Initiative or PQRI system) established a _____ incentive for eligible professionals who participate in a ________ quality reporting program. utilization review organization (URO), third-party administrator (TPA). True or false? Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. Describe the three levels of Sumerian society. Never tie an animal up if floods are pending. A) the healthcare institution itself C) American Medical Association B) Board of Healing Arts D) State Board of Nursing, 14. B. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. B. B. June 30, 2022 . fern storage cabinet anthropologie / normaliser un vecteur propre / normaliser un vecteur propre A) Managed care systems control the cost of care with a lower quality of care. ayudar a los otros pasajeros 6. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. managed care. Staff Model HMO 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 catastrophic limit is usually higher than those common in other plans.) B. (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? 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. 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? In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet A. precertification. es necesario el capitn hacerun anuncio B. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. Which of the following statements is correct regarding the identification of animals in disasters? The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. Which of the following statements iscorrectregarding the disposal ofcarcasses? 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Juan trabaja de asistente de vuelo y habla con los pasajeros. B) The care of the patient is carefully planned and monitored by the primary care provider. D. The USDA responds to disasters that threaten national food production, processing and distribution. Smallville Mall's insurer knows the existence, Insurable interest may exist when Select one: a.Julia has insurance on a car she just sold, b.Wells Fargo bank lends Tien $300,000 to buy a house and buys insurance on the house, c.Anthony, a, Assume that the following probability distribution exists for automobile damages. Damage from mudflows cannot be covered by insurance. It has. c. Select all that apply. c. Son las diez de la noche y nosotras estamos cansadas. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. They are intended to prevent the problem of covering members who are sicker than the general population (called adverse selection). 4) Which of the following statements about retirement ages in pension plans is (are) true? 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. Health risk assessment instruments (surveys) and resources are also available to subscribers. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. Managed care plan enrollees receive care from a ________ selected from a list of participating providers. D. Small amounts of snow never have devastating effects on a community. B) The contribution rate is fixed, and the retirement benefit is known in advance. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. B. 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. In economic terms, taxation transfers wealth from households or businesses to the . Which of the following statements correctly describes animal disease outbreaks? 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. 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. The National Committee for Quality Assurance (NCQA) reviews managed care plans and develops report cards to allow health care consumers to make informed decisions when selecting a plan. The term used to describe sophisticated and highly complex medical care is. 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. B. 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. but the retirement benefit is not known in advance. D) There is only one supplier for all units of a particular product. 3. I. D. All of the above. D) Historically, payment for healthcare services encouraged the use of expensive services. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . Step-by-step explanation C. FEMA is a primary source of education on disaster management in the U.S. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. A. Floodwaters are frequently contaminated with hazardous chemicals. Fixed-price reimbursement is a feature of managed care. C. Construction of a new barn at a site above a floodplain. 1 . A risk pool is created when a number of people are grouped for insurance purposes (e.g., employees of an organization); the cost of health care coverage is determined by employees' health status, age, sex, and occupation. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? Study Resources. (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. 1. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. Preferred provider organization (PPO) D. All of the above. Managed care can now be categorized according to six models: 1. 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 best describes this system? A. Specialty Pharmacy J. Industry/Manufacturing. 1 D. All of the above. b. distal radius C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. Select all that apply. A) The contribution rate is. 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. D. Allowing people to smoke in barns. Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? 53. immunizations and screenings included in benefits 54. II. The owner of an escaped animal may be held liable for damages his/her animal creates. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. e. Staff model If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. What is one way in which nurses can help shape healthcare reform? 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. c. Individual (or Independent) practice association (IPA)



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