which of the following statements describes managed care?

Which of the following statements accurately describe an aspect of managed care? Which of the following statements accurately describe an aspect of managed care? A) Managed care systems control the cost of care with a lower quality of care. b. c. Even though managed care. 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. A. A) The contribution rate is. 2. 22. The intent was to replace conventional fee-for-service plans with more affordable quality care to health care consumers and providers who agreed to certain restrictions (e.g., patients would receive care only from providers who are members of a managed care organization). A. 27. 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. 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. Other plans contract with a _________, an organization that provides health benefits claims administration and other outsourced services for self-insured companies. Which of the following phrases is characteristic of case management as a method of healthcare delivery? Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. Es el medioda y t tienes hambre. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. (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. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. . a. b. distal radius Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. A. 2.4) Which of the following best describes the process of screening in the medical office setting? Which of the following statements describes cyberwarfare? D) Historically, payment for healthcare services encouraged the use of expensive services. II. c. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. Group model 10. D) Hospitals are the preferred setting for service delivery. Select all that apply. D. All of the above. C. Emergency managers are responsible for finding the owners of all lost animals. A. Which one of the following statements best describes the family caregiver burdens of providing home care ? Do you think Krauthammer fairly characterizes libertarian thinking? 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? A. A. Out-of-pocket payments for health care expenses, which are made after the tax-exempt account is expended and before the deductible for high-deductible insurance has been met; this tier actually represents a gap in coverage Examples of health care cost containment in the 1980s included: Which of the following statements is/are correct regarding the humane care of animals in disasters? 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. 26. Answer the following questions about these Canadian artists. d. distals carpals, Use the integral test to find whether the following series converge or diverge. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. Cash values are a result of the level premium method of purchasing life insurance. D. Animals will frequently resist walking through flowing water. Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. Discontinued Capitation, adopted fee-for-service. Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. ), State insurance departments, state commerce or departmenf of cooperations. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. Utilitarian theories Which of the following statements describes appropriate procedures for dealing withanimal health/disease? The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. 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. 20. I. 51) Which of the following statements about managed care plans is (are) true? 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. Patients should be well informed about care and treatment options. A. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. A mutual fund is required to use the services of a mutual fund custodian. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; D. All of the above. to Step-by-step explanation B) The cost of healthcare in the United States has decreased dramatically. I get so confused." 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. 4. What is the pressu re at the bottom of the water layer? Which of the following statements iscorrectregarding snow fall? D. The USDA responds to disasters that threaten national food production, processing and distribution. Money deposited (and earnings) is tax-deferred, and money. State disaster declarations can only be made when more than one community is affected. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. Health maintenance organization (HMO) All definitions of institutions generally entail that there is a level of persistence and continuity. C. FEMA is a primary source of education on disaster management in the U.S. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? Most human injuries in earthquakes result from falling objects. b. For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. 19. is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. 5) Which of the following statements describes a defined. 1. 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. 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 . 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. 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? It has. 7. plans emphasize cost control, total health benefit costs continue to increase. Which of the following statements are considerations for managed care organizations? Select all that apply. Managed care gives rise to ethical problems associated with balancing utilitarian views of cost-effective care with a respect for persons and the traditional view of a duty to care. Patient care delivery 2. fee-for-service. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. B. 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. It attempts to control costs by modifying the behavior of providers and patients. Which of the following statements iscorrectregarding hurricanes? Without advertising income, we can't keep making this site awesome for you. B) The care of the patient is carefully planned and monitored by the primary care provider. which of the following statements describes managed care? of C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. a. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. B. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. 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 __________. If enrollees choose to receive all medical care from the managed network of health care providers, or obtain an authorization from their POS primary care provider for specialty care with an out-of-network provider, they pay only the regular copayment or a small charge for the visit and they pay no deductible or coinsurance costs. FEMA IS-120.C: An Introduction to Exercises Answers. B) genetics and income. 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. 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. 17. is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. Annual physical examinations are encouraged for the early detection of health problems. (Network providers are usually reimbursed on a fee-for-service basis. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. OPEN-PANEL HMO, Direct Contract Model. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? c.Health insurance must be This problem has been solved! National rivers, which are among the categories, are overseen by the bureau. B. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? 2. gilead sciences canada jobs. C. Volunteer organizations are the only source of disaster assistance at the locallevel.

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