which of the following statements describes managed care?

C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? 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). Responsible for reviewing health care provided by managed care organizations. A. Although you will first check with her provider, you are sure she is to see which of the following? 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. C. Construction of a new barn at a site above a floodplain. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; 8. 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 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). D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. I get so confused." 10. Purchasing a generator as an alternative power supply. D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. which of the following statements describes managed care? A person receiving healthcare insurance from his employer knows that he should check the approved list of contracted healthcare providers before seeking services in order to receive them at a lower cost. to es posible nosotros permanecer sentado(s) Which of the following terms best describes this type of healthcare setting? Which of the following ethical theories place the community, rather than the individual, the state, the nation, or any other entity, at the center of the value system? (Network providers are usually reimbursed on a fee-for-service basis. b. A mutual fund is required to use the services of a mutual fund custodian. Tax-exempt account that is used to pay for health care expenses. B. Step-by-step explanation Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. withdrawn to cover qualified medical expenses is tax-free. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Without advertising income, we can't keep making this site awesome for you. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. 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). A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. 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. 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. C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. results. Professional standards review organizations (PSROs). yo poner sus cosas debajo del asiento Yo almuerzo_______ (almorzar-entender) en la cafetera. D. Landslides rarely affect agricultural property. (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. Patient care . The economics of Country A support the rights of property and liberty for each person and allow each citizen to improve life circumstances by his or her own effort. Which of the following statements about managed funds is NOT correct? Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. 2. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. 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. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. Tax-exempt accounts that are offered by employers with 50 or more employees, which individuals use to pay health care bills. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations. 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. POS enrollees who receive care from out-of-network providers pay higher deductible and coinsurance amounts. Local plans allow communities to integrate with state and federal response to disasters. I. e. Staff model d. 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). Usually, all ambulatory services are provided within HMO corporate buildings. The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. Select all that apply. Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. A home healthcare agency providing care in a local community is supported by the United Way and local donations. 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. POS enrollees pay less if they use the plan's in-network providers. B. Which of the following best describes the connection between ethics and health care financing? A) The contribution rate is fixed. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" Which of the following statements accurately describe an aspect of managed care? It attempts to control costs by modifying the behavior of providers and patients. 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. Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? Medicare established the __________ to ensure the accountability of managed care plans in terms of objective, measurable standards (requirements). Which of the following statements arecorrect? fixed, but the retirement benefit is not known in advance. gilead sciences canada jobs. 9. In the following sentences, circle each incorrectly used lowercase letter. C. In most States, Good Samaritan Laws do not directly apply to the care of animals. Never tie an animal up if floods are pending. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. If the enrollee sees a non-managed care panel specialist without a referral from the primary care physician, this is known as a self-referral. Which of the following is true of long-term care facilities? She explains that a reoccurring rash on her legs has been bothering her, and her provider wants the other doctor to examine the rash and treat her if possible. 2.19) Who best knows the patient's body and financial situation? Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). Which of the following statements iscorrectregarding snow fall? Libertarian theories prestar mucha atencin. Group Model HMO D) Hospitals are the preferred setting for service delivery. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. 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. C) The contribution rate is, variable, and the retirement benefit is not known in advance. Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. which of the following statements describes managed care? 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. Expert Help. e. 2.4) Which of the following best describes the process of screening in the medical office setting? C. Emergency managers are responsible for finding the owners of all lost animals. 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. 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 . 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. 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. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? ayudar a los otros pasajeros ICT also includes analog technology, such as paper communication, and . Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. D. All of the above. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. is a physician or health care facility under contract to the managed care plan. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. Disaster advice from the USDA is provided by the Cooperative Extension Service. A. Livestock agriculture is more widely dispersed than ever before. 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. 4. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. Which of the following phrases best describes hospitals today? Examples of health care cost containment in the 1980s included: Es el medioda y t tienes hambre. Which of the following statements about the nursing process is true. Compute the expected value of the damages and fill in the chart below. Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days

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