ch 6 Flashcards | Quizlet C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. B. When disasters affect many livestock farms in a county it is unlikely that this will represent a significant loss to the countys tax base. Health plans also use HEDIS results themselves to see where they need to focus their improvement efforts. B) The contribution rate is fixed, and the retirement benefit is known in advance. It aims toward lower premiums and preventive care benefits. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? which of the following statements describes managed care? external quality review organization (EQRO). 51 which of the following statements about managed - Course Hero Which of the following statements iscorrectregarding hurricanes? State disaster declarations can only be made when more than one community is affected. Coup d'tat - Wikipedia D. Allowing people to smoke in barns. The owner of an escaped animal may be held liable for damages his/her animal creates. es importante los pasajeros seguir las instrucciones de seguridad 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? 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. Because a ________ would have the practical effect of prohibiting a physician from giving a patient the full range of advice and counsel that is clinically appropriate, it would result in the managed care plan not providing all covered Medicare services to its enrollees, in violation of the managed care plan's responsibilities. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A 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 describe effective operations in disasters? B. Relationships are not critical in the delivery of health services. What is one responsibility of nurses who work in physicians' offices? 3. 2. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. Do you think Krauthammer fairly characterizes libertarian thinking? Individual Practice Association (IPA) HMO Network Model HMO. 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. D) Risk management is a spontaneous response to an unexpected incident. Which of the following statements best describes an integrated delivery system? b. a condition in which the nasal septum strays from the midline of the nasal cavity, c. a chronic bacillus infection that usually affects the lung and is caused by a mycobacterium, d. an inflammation of the mucous lining of the larynx, e. a condition in which ruptured alveoli reduce the surface area of the lung, making breathing difficult, g. an obstructive disorder characterized by recurring spasms of the smooth muscles of the bronchi, i. an inflammation or infection of the pharynx, j. a disease characterized by a lack of surfactant in the alveoli; usually occurs in premature infants. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. Libertarian theories 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. A) Managed care systems control the cost of care with a lower quality of care. Unlike traditional fee-for-service. Richard Nixon - Wikipedia Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Although you will first check with her provider, you are sure she is to see which of the following? In Canada, almost all people are insured against the cost of all hospital and physician expenses through a government health insurance program. a. information disclosure regulation b. establishing minimum standards and monitoring compliance, The Smallville Mall has assumed the responsibility for payment of liability losses caused by Chuck's Famous Pizza to attract the pizza chain to the mall. b. These are designed to manage . 26. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. [Solved] Which of the Following Statements Describes Managed Care These range from structured staff model HMOS to less structured preferred provider organizations (PPOS). C. Only if flowing water is above your waist is it too high to cross. 11. universal health insurance. 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. Federal agencies are usually activated directly in response to requests from local emergency managers. A. Which of the following best describes the connection between ethics and health care financing? a. 24 HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. C) education and income. Employees contribute funds to the FSA through a salary reduction agreement and withdraw funds to pay medical bills. 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. Which of the following statements iscorrectregarding the disposal ofcarcasses? 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. A. 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. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. Compute the expected value of the damages and fill in the chart below. 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) primary care B) respite care C) bereavement care D) palliative care, 12. The Incident Command System provides a consistent method to respond to all types of emergencies. Which of the following describes one of the elements that the nurse practitioner has successfully met? QUESTION 1 Medicaid plans face several operational challenges, Providers are employees of the organization. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. Which of the following statements iscorrectregarding droughts? Quality Improvement System for Managed Care (QISMC). Once you have chosen a verb, write the correct! I. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. B. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. d. A. precertification. 16. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? 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. C. Disasters are declared starting at the local, then state, then federal level. Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. Many scholars consider a coup successful when the usurpers seize and hold power for at least . An elderly woman has total care of her husband with Alzheimer's disease. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. Usually, all ambulatory services are provided within HMO corporate buildings. B. Thunderstorms and their consequences are common, but rarely create problems. Select all that apply. This idea supports which of the following economic theories for which Rawles was a proponent? Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. 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 What population do hospice nurses provide with care? is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. is a physician or health care facility under contract to the managed care plan. which of the following statements describes managed care? Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. Some case managers employed by the MCO to monitor services provided to enrollees and to be notified if a patient fails to keep a preauthorized appointment Documentation of ownership may be needed to reclaim a lost animal. MA NCCT EXAM Flashcards | Quizlet The IPA is an intermediary (e.g., physician association) that negotiates the HMO contract and receives and manages the capitation payment from the HMO, so that physicians are paid on either a fee-for-service or capitation basis. Which of the following is a trend to watch in healthcare delivery? C) Risk management is unique to the health care industry. 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. Patient care delivery 2. Which of the following statements characterizes effective disaster preparedness plans? 2.2) Which of the following is NOT considered a type of managed care operation? Nurses who are employed in home care have a variety of responsibilities. A. Which of the following is a characteristic of primary healthcare? iwi galil ace rs regulate; pedestrian killed in london today; holly woodlawn biography; how to change icon size in samsung s21; houston marriott westchase 1) All of the following statements about tax implications of qualified pension plans are correct EXCEPT, A) Investment earnings on plan assets accumulate on a tax. 2.9) Which of the following is an eye specialist? A) The insurance company pays all or most of the costs. Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. "Don't drop out of school." b. ICT also includes analog technology, such as paper communication, and . D) Historically, payment for healthcare services encouraged the use of expensive services. 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. B) The care of the patient is carefully planned and monitored by the primary care provider. A) those requiring care to improve health B) children with chronic illnesses C) dying persons and their loved ones D) older adults requiring long-term care, 13. Who provides physicians with the authority to admit and provide care to patients requiring hospitalization? Which of the following statements about risk management is true? 2. A. A. 30. 19694 [Solved] Which of the following statements describes managed care organizations? Visibility, because only external customers should be considered. 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. B) Employer contributions are deductible up to certain limits as an ordinary business expense. D. All of the above. Which of the following statements is correct regarding the identification of animals in disasters? It is attentive to the needs of the membership group and individual patients. 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. Also write ELL above each elliptical clause. Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. 27. c. Ch. 3 Managed Health Care Flashcards | Quizlet The early retirement age is the earliest age at which an employee can. HMO Hazardous materials released during floods will flow away with the water. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. gilead sciences canada jobs. True or false? d. which of the following statements describes managed care? 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. Disasters are declared starting at the local, then state, then federal level. 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). I. A. Floodwaters are frequently contaminated with hazardous chemicals. 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. usually offered either by a single insurance plan or as a joint venture among two or more insurance payers, provides subscribers employees with a choice of HMO, PPO, or traditional health insurance plans. follow in the model. A. You ask her the reason for seeing her provider. Which of the following statements accurately describe an aspect of managed care? A. 12. C) The contribution rate is, variable, and the retirement benefit is not known in advance. In each of the given sentences, underline the subordinate clause. C) The nurse is considered the gatekeeper in the managed care system. Managed care plan enrollees receive care from a ________ selected from a list of participating providers. What statement describes the most important function of the health record? Which of the following statements apply to the transportation of livestock? 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? benefit pension plan? C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. D. All of the above. c. d. C. Emergency managers are responsible for finding the owners of all lost animals. B. ch.08 Flashcards | Quizlet 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. Most human injuries in earthquakes result from falling objects. I. Essay: Managed Care: Promise and Concerns | Health Affairs EJEMPLO: Es probable que nosotros evitemos una tempestad. B. FEMA helps States by reviewing and coordinating State emergency plans. Expert Help. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. results. Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? which of the following statements describes managed care? (2022) 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. B) The family of the patient is required to pay costs. 17. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. Which of the following statements describes cyberwarfare? The only loss in disasters is to affected farms. 19. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. a. Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. llegar a tiempo d. Fixed-price reimbursement is a feature of managed care. Communitarian theories. (The catastrophic limit is usually higher than those common in other plans.) 2.18) In 2007, how much of the world's population relied on alternative medicine? Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. POS enrollees pay less if they use the plan's in-network providers. (A) Give the symmetry number for each of the following molecules: a. proximal radius D. Animals will frequently resist walking through flowing water. The owner of an escaped animal may be held liable for damages his/her animal creates. A. Which of the following statements best describes this system? The use of remedies made from naturally occurring plant, animal, or mineral substances. HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. Additional paperwork for specialists to complete and the filing of treatment and discharge plans What is the confusion that might arise concerning her treatment and care is a problem known as? C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. Institution - Wikipedia 2.4) Which of the following best describes the process of screening in the medical office setting? 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. 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. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. It lowers cost through the elimination of waste and excess. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? Managed care can now be categorized according to six models: 1. Which of the following is NOT relevant to the care of animals in floods? fern storage cabinet anthropologie / normaliser un vecteur propre / normaliser un vecteur propre which of the following statements describes managed care? II. Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. Health risk assessment instruments (surveys) and resources are also available to subscribers. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). 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).