Step-by-step explanation yo poner sus cosas debajo del asiento Which of the following terms best describes this type of healthcare setting? A) physical therapist C) social worker B) speech therapist D) respiratory therapist, 15. Patients do not need to be well informed about the financial benefit issues that affect the provision of care. 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. Who would be most likely to teach the classes? Premiums and other revenue are paid to the HMO. (Network providers are usually reimbursed on a fee-for-service basis. 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. 8. 11. 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. Which of the following statements is correct regarding floods? Managed care is categorized according to six models: exclusive provider organizations, integrated delivery systems, health maintenance organizations, point-of-service plans, preferred provider organizations, and triple option plans. Up-to-date lists of special administrative procedures required by each managed care plan contract Select all that apply. C) The nurse is considered the "gatekeeper" in the managed care system. Which of the following statements correctly describe liability issues in disasters? He tells the nurse, "I don't know what that word, outpatient, means." C) The contribution rate is, variable, and the retirement benefit is not known in advance. PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. D) Risk management is a spontaneous response to an unexpected incident. A. which of the following statements describes managed care? c. What type of care might the nurse suggest to give her some much-needed time of her own? fixed, but the retirement benefit is not known in advance. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? Escriba lo que dice. Correctly identify disorders of the wrist. Ice dams on roofs and large icicles are uncommon causes of building collapse. It lowers cost through the elimination of waste and excess. a. Disaster advice from the USDA is provided by the Cooperative Extension Service. 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. D. All of the above. 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. 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 paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? Also write ELL above each elliptical clause. A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. Which of the following statements apply to the transportation of livestock? _______ were created to manage benefits and to develop participating provider networks. Select all that apply. D) Medicare and Medicaid will pay most of the costs. A. Most employees are covered under some form of managed care plan. e. A) The contribution rate is. The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. Marcos and his horse will lead the tyler fourth of july parade. C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. True: Name 3 of the primary purposes of the health record. Fixed-price reimbursement is a feature of managed care. a. 6. D. All of the above. [11 Proven Strategies], 20 Best Companies for Employee Benefits & Perks 2022, Learning Graphic Design: 9 Easy First Steps for Beginners - Self-Made Designer, Solitario clsico - Solitario de tres turnos, FR Legends Supra MOD APK (2022) [Unlimited Money] Free Download, Cops can't break these rules if you're pulled over | finder.com, Massey Ferguson: Tractor Warning Light Meanings. 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. C) Risk management is unique to the health care industry. d. distals carpals, Use the integral test to find whether the following series converge or diverge. a. State disaster declarations can only be made when more than one community is affected. A. 20. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. 3. Which of the following statements characterizes effective disaster preparedness plans? 19. Health risk assessment instruments (surveys) and resources are also available to subscribers. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? A. Plans are required to meet minimum performance levels and to show demonstrable and measurable improvement in specified broad clinical areas (e.g., preventive services, acute ambulatory care, chronic care, and hospital care) based on performance improvement projects that each plan identifies. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. C) Short- and long-term results of cost-containment measures are undetermined. B. C) The supplier delivers only what the customer needs. What are DRGs? National Committee for Quality Assurance (NCQA). A. (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. Health maintenance organizations (HMOS) manage patient health care services by expending a monthly capitation amount paid by a third-party payer. Costs from animal disease outbreaks include loss of production andreplacementof animals. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Which of the following is true of long-term care facilities? Patient care delivery 2. Patients should be well informed about care and treatment options. Each line when completed, should have three words similar in meaning. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. 8. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. B) The supplier maintains the inventory for the buyer. F) Planning and monitoring are conducted to ensure standards are followed. Patient care . These include provider networks, provider oversight, prescription drug tiers, and more. B. Designating access to barns and water for firefighters. 4) Which of the following statements about retirement ages in pension plans is (are) true? Although you will first check with her provider, you are sure she is to see which of the following? Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. benefit pension plan? B. D) Hospitals are the preferred setting for service delivery. Group Model HMO Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. D. All of the above. After a stroke, a patient is having difficulty swallowing. Which of the following statements iscorrectregarding hurricanes? 23. Which of the following statements iscorrectregarding droughts? but the retirement benefit is not known in advance. Individual Practice Association (IPA) HMO. In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet Institutions vary in their level of formality and informality. Exclusive provider organization (EPO) Which of the following is true? Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. 29. Answer the following questions about these Canadian artists. C. Construction of a new barn at a site above a floodplain. 3. Which of the following statements are considerations for managed care organizations? D) Historically, payment for healthcare services encouraged the use of expensive services. 2.19) Who best knows the patient's body and financial situation? A managed care organization (MCO) is responsible for the health of its enrollees, which can be administered by the MCO that serves as a health plan or contracts with a hospital, physician group, or health system. 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. A. A) Managed care systems control the cost of care with a lower quality of care. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. A mutual fund is required to use the services of a mutual fund custodian. 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. The most common health plans available today often include features of managed care. B. is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. II. EJEMPLO: Es probable que nosotros evitemos una tempestad. Triple option plan. Which of the following statements accurately describes the activation of federal agencies in disasters? A variety of measures can be used; measures may be simple or complex; it is recommended that measures be straightforward, understandable, and valid. a. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. Which of the following statements accurately describe an aspect of managed care? What is one responsibility of nurses who work in physicians' offices? Managed care plans implement _______ as a method of controlling health care costs and quality of care. B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. 4. 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. 2. d. Without advertising income, we can't keep making this site awesome for you. Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. B) The care of the patient is carefully planned and monitored by the primary care provider. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. B. June 29, 2022. (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. Relationships are not critical in the delivery of health services. 9. A nurse in a walk-in healthcare setting provides technical services, such as, administering medications, determines the priority of care needs, and provides patient teaching on all aspects of care. retire without receiving actuarially reduced benefits. Select all that apply. 21. fern storage cabinet anthropologie / normaliser un vecteur propre / normaliser un vecteur propre A. managed care. A. precertification. 51) Which of the following statements about managed care plans is (are) true? Employees contribute funds to the FSA through a salary reduction agreement and withdraw funds to pay medical bills. The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. 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). This idea supports which of the following economic theories for which Rawles was a proponent? Laws, rules, social conventions and norms are all examples of institutions. 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. Which of the following statements accurately describes disaster assistance? 16. Communitarian theories. F) Competition among hospitals has further fueled the increase in health costs. Explain whether or not scientific methods are sets of procedures that scientists follow. If services provided to subscribers cost more than the capitation amount, the physician loses money. A. 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. 30. Which of the following statements about managed care are true? 10. Select all that apply. Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. D. Animals will frequently resist walking through flowing water. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. 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. 26. 2.12) Which of the following does not apply to the role of a medical assistant? C. Only if flowing water is above your waist is it too high to cross. 92) Which of the following best describes vendor managed inventory? 1. 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). A. Managed care plan enrollees receive care from a ________ selected from a list of participating providers. results. Which of the following statements arecorrect? prestar mucha atencin. 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. 5. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. plans emphasize cost control, total health benefit costs continue to increase. d. Select all that apply. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. B. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report D) profession and income. 17. Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). Which of the following statements describe effective operations in disasters? Select all that apply. 2.16) Twenty-five percent of urgent care patients do not have which of the following? As she pays her co-payment, she says "Oh dear, the doctor told me to see someone, but I can't remember what he said. Health Savings Account (HSA); Health Savings Security Account (HSSA). 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. (The catastrophic limit is usually higher than those common in other plans.) establishes a contract that allows physicians to maintain their own offices and share services (e.g., appointment scheduling and billing). 4. B. Thunderstorms and their consequences are common, but rarely create problems. 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. D. All of the above. 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? 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 . "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A 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). A. Floodwaters are frequently contaminated with hazardous chemicals. Prior to scheduling elective surgery, managed care plans often require a _______; that is, a second physician is asked to evaluate the necessity of surgery and recommend the most economical, appropriate facility in which to perform the surgery (e.g., outpatient clinic doctor's office versus inpatient hospitalization). Provide quality health care while containing costs. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. 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. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. b. Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). D) There is only one supplier for all units of a particular product. C. Hurricanes frequently cause flooding along the coast, but not inland. It aims toward lower premiums and preventive care benefits. withdrawn to cover qualified medical expenses is tax-free. llegar a tiempo C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. 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). What is the minimum number of the 900 non, highly compensated employees who must be covered by the. an organized effort by health plans and providers to use financial incentives and organizational. Most natural disasters affect local communities least of all. c.Health insurance must be This problem has been solved! It attempts to control costs by modifying the behavior of providers and patients. A. ayudar a los otros pasajeros Managed care plans emphasize cost controls and preventative care. 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. Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. 2.14) Mrs. J. has just seen her provider. b. A) Managed care systems control the cost of care with a lower quality of care. Which of the following statements about risk management is true? FEMA IS-120.C: An Introduction to Exercises Answers. is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. Individual Practice Association (IPA) HMO Network Model HMO. PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. True or false? 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. 5. For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. Which of the following are effective MITIGATION (reduction, prevention) activities for farms? Which of the following statements about the nursing process is true. which of the following statements describes managed care? 2.3) Which of the following statements best describes a health maintenance organization (HMO)? B. A triple option plan provides patients with more choices than a traditional managed care plan. A. 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 . B. C. Emergency loans from the USDA in disasters are managed by the Farm Service Agency. A. 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. B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. Managed care can now be categorized according to six models: 1. C) education and income. b.Health insurance payments and co-pays must be proportional to income. C) The nurse is considered the "gatekeeper" in the managed care system. Select all that apply. D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. B) The contribution rate is fixed, and the retirement benefit is known in advance. d. E) The managed care system may required approval for specialty care. B. It aims toward lower premiums and preventive care benefits. B. 16. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. D. All of the above. Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. a payment system based on Diagnosis related groups (DRGs). Accreditation of Managed Care Organizations. It is necessary for it to be raining to be struck by lightning. C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. Answer: A. 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. C. FEMA is a primary source of education on disaster management in the U.S. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. B. FEMA helps States by reviewing and coordinating State emergency plans.
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