which of the following statements describes managed care?

დამატების თარიღი: 11 March 2023 / 08:44

Brace anchor all tall or top-heavy objects. A. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? Most natural disasters affect local communities least of all. Hazardous materials released during floods will flow away with the water. 8. Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations. Examples of health care cost containment in the 1980s included: C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Which of the following statements about risk management is true? 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. 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. Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. 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 __________. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. It lowers cost through the elimination of waste and excess. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Which of the following is a characteristic of primary healthcare? B) Employer contributions are deductible up to certain limits as an ordinary business expense. 1. a. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. d. distals carpals, Use the integral test to find whether the following series converge or diverge. 2.11) Concierge care does not offer patients which of the following? 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. A home healthcare agency providing care in a local community is supported by the United Way and local donations. D. The USDA responds to disasters that threaten national food production, processing and distribution. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). Which of the following statements about managed funds is NOT correct? Unlike traditional fee-for-service. Fixed-price reimbursement is a feature of managed care. Group model C. In most States, Good Samaritan Laws do not directly apply to the care of animals. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. Preferred provider organization (PPO) C) Risk management is unique to the health care industry. retire without receiving actuarially reduced benefits. 29. 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. Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. 51) Which of the following statements about managed care plans is (are) true? 10. 18. Who would be most likely to teach the classes? 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. It is necessary for it to be raining to be struck by lightning. A. Compute the expected value of the damages and fill in the chart below. State disaster declarations can only be made when more than one community is affected. D. Heat stress in animals only occurs under conditions of extreme heat. An integrated delivery system may also be referred to by any of the following names: integrated service network (ISN), delivery system, vertically integrated plan (VIP), vertically integrated system, horizontally integrated system, health delivery network, or accountable health plan. Damage from mudflows cannot be covered by insurance. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? Contracted health care services are delivered to subscribers by individual physicians in the community. 12. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. D. All of the above. All of the highly compensated employees are covered by the, plan. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Storing patient care information: All of the primary purposes of the health record are associated directly with the provision of patient care services. A. C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. This type of economic structure best describes which of the following? B. FEMA helps States by reviewing and coordinating State emergency plans. 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. They are intended to prevent the problem of covering members who are sicker than the general population (called adverse selection). HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. 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. 22. Which of the following statements is/are correct regarding the humane care of animals in disasters? 2.19) Who best knows the patient's body and financial situation? a. 5. (The catastrophic limit is usually higher than those common in other plans.) c.Health insurance must be This problem has been solved! B. Designating access to barns and water for firefighters. 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. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. If services provided to subscribers cost more than the capitation amount, the physician loses money. 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. Higion is a website that writes about many topics of interest to you, a blog that shares knowledge and insights useful to everyone in many fields. (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. B. (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. C) Short- and long-term results of cost-containment measures are undetermined. A. Livestock agriculture is more widely dispersed than ever before. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . C. Disasters are declared starting at the local, then state, then federal level. Accreditation is a voluntary process that a health care facility or organization (e.g., hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law. C. Disasters are declared starting at the local, then state, then federal level. Which of the following statements accurately describe an aspect of managed care? B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. Yet, segments of the health care system maintain aspects of a free-market competition. 15. B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. 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. The nurse may make a referral to what member of the healthcare team? Which of the following statements best describes this system? Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. Different methods of paying for health care in the United States seek to provide superior care, equality of access, and freedom of choice for all citizens, while promoting the public interest through cost-containment programs. e. Staff model which of the following statements describes managed care? C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. These range from structured staff model HMOS to less structured preferred provider organizations (PPOS). 2. . 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. C. Only if flowing water is above your waist is it too high to cross. 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . 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 grade school is preparing a series of classes on the dangers of smoking. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. Other plans contract with a _________, an organization that provides health benefits claims administration and other outsourced services for self-insured companies. A) The insurance company pays all or most of the costs. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. B) The contribution rate is fixed, and the retirement benefit is known in advance. Costs from animal disease outbreaks include loss of production andreplacementof animals. e. Integrated delivery system (IDS) View the full answer. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad Case managers do not use the nursing process. C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. 6. It attempts to control costs by modifying the behavior of providers and patients. A) Managed care systems control the cost of care with a lower quality of care. Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? Never tie an animal up if floods are pending. A) primary care B) respite care C) bereavement care D) palliative care, 12. D) profession and income. What is the primary focus of healthcare today?

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which of the following statements describes managed care?

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