which of the following statements describes managed care? which of the following statements describes managed care?

51) Which of the following statements about managed care plans is (are) true? 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. 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. 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. It attempts to control costs by modifying the behavior of providers and patients. Which of the following is true? 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? Ms. A Chap 1-4 Flashcards - Cram.com C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. Which of the following statements best describes an integrated delivery system? Choose the correct description or cause of pharyngitis. prestar mucha atencin. B. Which of the following statements about risk management is true - Weegy The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. which of the following statements describes managed care? Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. D. Landslides rarely affect agricultural property. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? What is the pressu re at the bottom of the water layer? Richard Nixon - Wikipedia Step-by-step explanation B) The family of the patient is required to pay costs. Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. a) managed care. Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. You ask her the reason for seeing her provider. 2.9) Which of the following is an eye specialist? A. 4) Which of the following statements about retirement ages in pension plans is (are) true? HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. 2.12) Which of the following does not apply to the role of a medical assistant? It is attentive to the needs of the membership group and individual patients. D. All of the above. Group Model HMO d. Laws, rules, social conventions and norms are all examples of institutions. Cambodia Crime. 20. 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. Examples of health care cost containment in the 1980s included: D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. D. All of the above. . c. A. B. B. FEMA helps States by reviewing and coordinating State emergency plans. Staff Model HMO d. 16. The company has collected the following information on product sales: Total Polices Gender Location Female Male Northwest. Which of the following statements iscorrectregarding heat stress in livestock? 5. 2.1) Which of the following best describes the form of medical practice management in which the provider's personal property is attached and may be sold if the business fails? Select all that apply. d. Peer review organizations (PROs). Preferred provider organization (PPO) CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? Providers are employees of the organization. Chapter08-HealthcareDeliverySystems - 1. Which of the following Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? D. All of the above. Doctors Without Borders C) The nurse is considered the gatekeeper in the managed care system. Shared post - One Year Later, Biden Fails to - greenwald.locals.com 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? D) Risk management is a spontaneous response to an unexpected incident. Qu hacemos? D) There is only one supplier for all units of a particular product. Managed care plans implement _______ as a method of controlling health care costs and quality of care. Crop insurance to protect against the effects of summer storms. 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. Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. A. Health care can be purchased or given freely in Country A, but there is no entitlement program to ensure basic health care to vulnerable people. They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. utilization management (or utilization review). Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. C. Emergency loans from the USDA in disasters are managed by the Farm Service Agency. 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. C) education and income. B) epidemiology. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. 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. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. b. 23. What statement describes the most important function of the health record? Case managers do not use the nursing process. b. It is the result of a joint venture between hospitals and members of their medical staff. 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. 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. 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. A. Select all that apply. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A a. 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. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. b.Health insurance payments and co-pays must be proportional to income. 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 . e. Costs from animal disease outbreaks include loss of production andreplacementof animals. Which of the following statements accurately describes disaster assistance? c.Health insurance must be This problem has been solved! Up-to-date lists of special administrative procedures required by each managed care plan contract Managed care plan enrollees receive care from a ________ selected from a list of participating providers. Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. retire without receiving actuarially reduced benefits. When disasters affect many livestock farms in a county it is unlikely that this will represent a significant loss to the countys tax base. Which of the following best describes vendor managed - Course Hero D. The USDA responds to disasters that threaten national food production, processing and distribution. Healthcare Effectiveness Data and Information Set (HEDIS). 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. Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. 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. Tax-exempt accounts that are offered by employers with 50 or more employees, which individuals use to pay health care bills. Which of the following is a trend to watch in healthcare delivery? Specialty Pharmacy J. Industry/Manufacturing. U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. Institution - Wikipedia c. 8. 2.10) Which of the following best describes how alternative health therapies are being perceived? Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. B. D. All of the above. Each line when completed, should have three words similar in meaning. D. Heat stress in animals only occurs under conditions of extreme heat. E) The managed care system may required approval for specialty care. Which of the following statements characterizes effective disaster preparedness plans? certificate of need programs. 1. Select all that apply. 2.4) Which of the following best describes the process of screening in the medical office setting? 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. A patient has a private insurance policy that pays for most healthcare costs and services. Managed care can now be categorized according to six models: 1. Answer: B. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; He tells the nurse, "I don't know what that word, outpatient, means." A patient who requires treatment for breast cancer is referred to an oncologist. What is one responsibility of nurses who work in physicians' offices? State disaster declarations can only be made when more than one community is affected. is a physician or health care facility under contract to the managed care plan. Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? Chapter 08- Healthcare Delivery Systems - 1. Which of the following Personal preparedness is rarely effective at minimizing losses from disasters. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. a. Solved 25. Which of the following statements about managed - Chegg What is the minimum number of the 900 non, highly compensated employees who must be covered by the. d. Many scholars consider a coup successful when the usurpers seize and hold power for at least . C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. Ch. 9: Other Health Insurance Concepts Flashcards | Chegg.com Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. C. Reducing personal water usage helps reduce the impact of droughts. 2.11) Concierge care does not offer patients which of the following? which of the following statements describes managed care? c. Patient care delivery 2. Although you will first check with her provider, you are sure she is to see which of the following? plan in order for the plan to satisfy the ratio test? A) Managed care systems control the cost of care with a lower quality of care. Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. A) the healthcare institution itself C) American Medical Association B) Board of Healing Arts D) State Board of Nursing, 14. 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. horse hind leg tendon sheath. B. [Solved] Which of the Following Statements Describes Managed Care Chapter 15 Flashcards | Quizlet es necesario el capitn hacerun anuncio Ch. 8 Community Health Practice Questions Flashcards | Quizlet