Tax-exempt account that is used to pay for health care expenses. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. B. prestar mucha atencin. a and b only. 2.16) Twenty-five percent of urgent care patients do not have which of the following? but the retirement benefit is not known in advance. B. 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. A) Managed care systems control the cost of care with a lower quality of care. Visibility, because only external customers should be considered. Answer the following questions about these Canadian artists. (a) CO2\mathrm{CO}_2CO2, (b) O3\mathrm{O}_3O3, (c) SO3\mathrm{SO}_3SO3, (d) SF6\mathrm{SF}_6SF6, and (e) Al2Cl6\mathrm{Al}_2 \mathrm{Cl}_6Al2Cl6. Select all that apply. Even though managed care. which of the following statements describes managed care? 10. What is one responsibility of nurses who work in physicians' offices? c. Individual (or Independent) practice association (IPA) Premiums and other revenue are paid to the HMO. D) Medicare and Medicaid will pay most of the costs. B. Which of the following statements will NOT reduce risks arising from wildfires? 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. C. FEMA is a primary source of education on disaster management in the U.S. Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. C) The patient gets the bill and pays out-of-pocket costs. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). All definitions of institutions generally entail that there is a level of persistence and continuity. 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. When disasters affect many livestock farms in a county it is unlikely that this will represent a significant loss to the countys tax base. CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. 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 . I. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? 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. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. 8. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. Which of the following statements accurately describe an aspect of managed care? 4. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. 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. C. Volunteer organizations are the only source of disaster assistance at the locallevel. 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 . A. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. a. It has. 1 He tells the nurse, "I don't know what that word, outpatient, means." What type of care might the nurse suggest to give her some much-needed time of her own? Which of the following is a natural consequence of utilitarian forms of health care financing? Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. II. B. d. A mutual fund is required to use the services of a mutual fund custodian. B. Designating access to barns and water for firefighters. It is attentive to the needs of the membership group and individual patients. 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. 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. Preferred provider organization (PPO) Which of the following is a characteristic of primary healthcare? C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. Managed care can now be categorized according to six models: 1. a. proximal radius Staff Model HMO 19694 Additional paperwork for specialists to complete and the filing of treatment and discharge plans If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. 2.19) Who best knows the patient's body and financial situation? HMOS often require a copayment (or copay), which is a fee paid by the patient to the provider at the time health care services are rendered. 26. yo poner sus cosas debajo del asiento D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. Employees contribute funds to the FSA through a salary reduction agreement and withdraw funds to pay medical bills. 7. C. Disasters are declared starting at the local, then state, then federal level. A. Most countries charge a tax on an individual's income as well as on corporate income. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . B. A. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. 1. C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. B. Who would be most likely to teach the classes? D) Pension benefits attributable to the employer, s contributions are not taxed until the employee retires or, 2) Beta Corporation has 1,000 employees eligible to participate in the firm, employees are considered highly compensated. A. precertification. Without advertising income, we can't keep making this site awesome for you. Most human injuries in earthquakes result from falling objects. A) The contribution rate isfixed, but the retirement benefit is not known in advance. 2.9) Which of the following is an eye specialist? State disaster declarations can only be made when more than one community is affected. A. Floodwaters are frequently contaminated with hazardous chemicals. Select one: O a. Damage from mudflows cannot be covered by insurance. Which of the following statements apply to the transportation of livestock? A. Disasters can be a threat to animal well-being. Which one of the following statements best describes the family caregiver burdens of providing home care ? 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . Managed care plans emphasize cost controls and preventative care. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. A) The contribution rate is. c. "Don't drop out of school." b. 2.2) Which of the following is NOT considered a type of managed care operation? Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. 2. A. f. Definition. The marketing department is launching a new advertising campaign. 18. It aims toward lower premiums and preventive care benefits. 5) Which of the following statements describes a defined. It is necessary for it to be raining to be struck by lightning. C. Construction of a new barn at a site above a floodplain. Examples of health care cost containment in the 1980s included: Healthcare Effectiveness Data and Information Set (HEDIS). Health risk assessment instruments (surveys) and resources are also available to subscribers. D. All of the above. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. ICT is an umbrella term that includes any communication device, encompassing radio, television, cell phones, computer and network hardware, satellite systems and so on, as well as the various services and appliances with them such as video conferencing and distance learning. d. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. Exclusive provider organization (EPO) "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. Which of the following statements are considerations for managed care organizations? I get so confused." B) epidemiology. Hazardous materials released during floods will flow away with the water. B. A Colles fracture occurs at the: Find answers to the next exam here: FEMA IS-120.C: An Introduction to Exercises Answers. 2. Managed care plan enrollees receive care from a ________ selected from a list of participating providers. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. A. 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. Individual Practice Association (IPA) HMO Network Model HMO. B. Most employees are covered under some form of managed care plan. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Case managers do not use the nursing process. I. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. 2.14) Mrs. J. has just seen her provider. Up-to-date lists of patient copayments and fees for each managed care plan contract Special patient interviews to ensure preauthorization and to explain out-of-network requirements if the patient is self-referring 5. 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. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. C. Practice a fire drill every month throughout the fire season. B. D. Animals will frequently resist walking through flowing water. C) The nurse is considered the "gatekeeper" in the managed care system. 17. Costs from animal disease outbreaks include loss of production andreplacementof animals. 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. 15. Fixed-price reimbursement is a feature of managed care. all of the above. B. What is the minimum number of the 900 non, highly compensated employees who must be covered by the. is a physician or health care facility under contract to the managed care plan. which of the following statements describes managed care? 20. In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. OPEN-PANEL HMO, Direct Contract Model. Patients' needs are assessed and prioritized. Escriba lo que dice. 16. In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. A) The contribution rate is fixed. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. 25. 5. A. B. a. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. It lowers cost through the elimination of waste and excess. A. Which of the following statements accurately describes the clinical nurse leader (CNL)? Which of the following statements would be most appropriate for the nurse to make? The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. Having fire tools handy at your home and in your barn: a ladder, garden hoses, fire extinguishers, gas-operated water pumps, shovels, rakes, and buckets. Continuing Healthcare Funding issues - why isn't it simple to apply? FEMA IS-120.C: An Introduction to Exercises Answers. c. A. 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? B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. 24. 8. an organized effort by health plans and providers to use financial incentives and organizational. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. C) education and income. Which of the following statements about the history of home healthcare nursing is most accurate? horse hind leg tendon sheath. Which of the following statements is correct regarding disasters? D. All of the above. D) profession and income. Although you will first check with her provider, you are sure she is to see which of the following? 21. 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. A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. State disaster declarations can only be made when more than one community is affected. Which of the following statements accurately describe an aspect of managed care? In the following sentences, circle each incorrectly used lowercase letter. The enrollee will have greater out-of-pocket expenses, as he must pay both a large deductible (usually $200 to $250) and 20 to 25 percent coinsurance charges, similar to those paid by persons with fee-for-service plans. 53. immunizations and screenings included in benefits 54. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. d. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. E) The managed care system may required approval for specialty care. C) Risk management is unique to the health care industry. B. Integrated delivery system (IDS) 17. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice 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. Course Hero is not sponsored or endorsed by any college or university. d. B) The family of the patient is required to pay costs. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). Which of the following best describes the connection between ethics and health care financing? It is the result of a joint venture between hospitals and members of their medical staff. HMO Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. Up-to-date lists of special administrative procedures required by each managed care plan contract B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. 1. B) The care of the patient is carefully planned and monitored by the primary care provider. Managed care organizations (MCOS) impact a practice's administrative procedures by requiring: Separate bookkeeping systems for each capitated plan to ensure financial viability of the contract After a stroke, a patient is having difficulty swallowing. A patient has a private insurance policy that pays for most healthcare costs and services. Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. A. Son las diez de la noche y nosotras estamos cansadas. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). fee-for-service. Cambodia Crime. 19. Which of the following statements regarding thunderstorms is correct? do australian shepherds have a good sense of smell; matan adelson net worth; words that rhyme with crime; fattmerchant customers; shoulder holster for ruger lcrx 3 inch barrel June 29, 2022. Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. Yet, segments of the health care system maintain aspects of a free-market competition. 3. 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. 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 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. And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. A. how has dissection been used in engineering; which of the following statements describes managed care? 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. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? 26. C) The nurse is considered the "gatekeeper" in the managed care system. Which of the following statements arecorrect? Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). D. Small amounts of snow never have devastating effects on a community. A. 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. Managed care programs have been successful in containing costs and limiting unnecessary services, resulting in the current trend for health care plans to offer the SSO as a benefit, not a requirement. b. 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. Juan trabaja de asistente de vuelo y habla con los pasajeros. B. (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? Health Savings Account (HSA); Health Savings Security Account (HSSA). Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. Correctly identify disorders of the wrist. external quality review organization (EQRO). D. Large-scale disasters affecting livestock never have serious implications for State revenues. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. View the full answer. plans emphasize cost control, total health benefit costs continue to increase. (B) Give the symmetry number for each of the following molecules: C. Only if flowing water is above your waist is it too high to cross. 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.
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