which of the following statements describes managed care?

16. c. Cambodia Crime. e. 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). Possible Outcomes for Expected Value Damages, 2. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. Most employees are covered under some form of managed care plan. es importante los pasajeros seguir las instrucciones de seguridad C. Reducing personal water usage helps reduce the impact of droughts. 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. Which of the following statements iscorrectregarding snow fall? D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. Health care services are provided to subscribers by physicians employed by the HMO. Information and communications technology - Wikipedia b. distal radius 2. Ch. 8 Community Health Practice Questions Flashcards | Quizlet Nurses who are employed in home care have a variety of responsibilities. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. B. Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. _______ were created to manage benefits and to develop participating provider networks. 2. Which of the following statements about funding sources for nurse e. follow in the model. Providers are employees of the organization. 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? 2.19) Who best knows the patient's body and financial situation? 2.12) Which of the following does not apply to the role of a medical assistant? Tax - Wikipedia Responsible for reviewing health care provided by managed care organizations. Federal agencies are usually activated directly in response to requests from local emergency managers. The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. 2.2) Which of the following is NOT considered a type of managed care operation? June 29, 2022. D. All of the above. d. A) The contribution rate is fixed. June 30, 2022 . Costs from animal disease outbreaks include loss of production andreplacementof animals. 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. Individual Practice Association (IPA) HMO. 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. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" Under the auspices of its Health Care Reform Program, established in July 1993, The Commonwealth Fund is focusing on the need to expand knowledge about managed care organizations. 4) Which of the following statements about retirement ages in pension plans is (are) true? d. 8. Which of the following statements about risk management is true? 9. C) education and income. Specialty Pharmacy J. Industry/Manufacturing. 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. Crop insurance to protect against the effects of summer storms. A. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. A. Group model Which of the following is a natural consequence of utilitarian forms of health care financing? B) epidemiology. B. 2. It lowers cost through the elimination of waste and excess. 13. B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. C. Disasters are declared starting at the local, then state, then federal level. A. Although you will first check with her provider, you are sure she is to see which of the following? Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). horse hind leg tendon sheath. 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. The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. Brace anchor all tall or top-heavy objects. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. Health maintenance organizations (HMOS) manage patient health care services by expending a monthly capitation amount paid by a third-party payer. Choose the correct description or cause of pharyngitis. The owner of an escaped animal may be held liable for damages his/her animal creates. True: Name 3 of the primary purposes of the health record. F) Competition among hospitals has further fueled the increase in health costs. is a private, not-for-profit organization that assesses the quality of managed care plans in the United States and releases the data to the public for consideration when selecting a managed care plan. 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. 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. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. A. c. 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. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. c. B) The care of the patient is carefully planned and monitored by the primary care provider. D) There is only one supplier for all units of a particular product. of C. Volunteer organizations are the only source of disaster assistance at the locallevel. Utilitarian theories C. Disasters are declared starting at the local, then state, then federal level. The term used to describe sophisticated and highly complex medical care is. c. c. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . A. A. Floodwaters are frequently contaminated with hazardous chemicals. Exclusive provider organization (EPO) Visibility, because only external customers should be considered. 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. Fixed-price reimbursement is a feature of managed care. QUESTION 1 Medicaid plans face several operational challenges, 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. Consumer-Directed Health Plans include the following tiers: Tax-exempt account, which is used to pay for health care expenses and provides more flexibility than traditional managed care plans in terms of access to providers and services B. Richard Nixon - Wikipedia A. B. Annual physical examinations are encouraged for the early detection of health problems. es mejor todo el mundo tomar su asiento en seguida State disaster declarations can only be made when more than one community is affected. It has. ch 6 Flashcards | Quizlet 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. 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. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. 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. D. All of the above. This question suggests which of the following? B) Payment for services is integrated with delivery of services. Yo almuerzo_______ (almorzar-entender) en la cafetera. 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? b. If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. Documentation of ownership may be needed to reclaim a lost animal. C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. 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. A. A. a. proximal radius Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. Triple option plan. A. precertification. Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. benefit pension plan? B. 2. National Committee for Quality Assurance (NCQA). b. Which of the following statements best describes this system? 2.13) Which of the following best describes the purpose of managed care? which of the following statements describes managed care? Son las diez de la noche y nosotras estamos cansadas. Which of the following phrases is characteristic of case management as a method of healthcare delivery? It is the result of a joint venture between hospitals and members of their medical staff. 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. Which of the following statements iscorrectregarding the human food supply in disasters? define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. Quality Improvement System for Managed Care (QISMC). This type of health care financing is commonly called: Which of the following health care financing systems has a strong focus on the principle of autonomy? which of the following statements describes managed care? "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A d. Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. 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.