which of the following statements describes managed care?

by on April 8, 2023

Which of the following statements apply to the transportation of livestock? D. Small amounts of snow never have devastating effects on a community. Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. State disaster declarations can only be made when more than one community is affected. What type of agency is this? The term "managed care" is used to describe a type of health care focused on helping to reduce costs, while keeping quality of care high. 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. [Solved] Which of the following statements describes managed care organizations? Class 1: ACE inhibitors, ARB's, CCB's, and Be, Byron Almen, Dorothy Payne, Stefan Kostka, Eric Hinderaker, James A. Henretta, Rebecca Edwards, Robert O. Self, John Lund, Paul S. Vickery, P. Scott Corbett, Todd Pfannestiel, Volker Janssen, Ch 5 Ethical Quandaries in Community Health N. All definitions of institutions generally entail that there is a level of persistence and continuity. Which of the following statements best describes an integrated delivery system? Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. d. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. which of the following statements describes managed care? 2.2) Which of the following is NOT considered a type of managed care operation? e. What statement describes the most important function of the health record? D. Heat stress in animals only occurs under conditions of extreme heat. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? June 29, 2022. B) The contribution rate is fixed, and the retirement benefit is known in advance. withdrawn to cover qualified medical expenses is tax-free. In economic terms, taxation transfers wealth from households or businesses to the . C) Reimbursement is usually based on fee-for-service. Contracted health care services are delivered to subscribers by individual physicians in the community. 16. The Incident Command System provides a consistent method to respond to all types of emergencies. This type of economic structure best describes which of the following? B) The supplier maintains the inventory for the buyer. After a stroke, a patient is having difficulty swallowing. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. Son las diez de la noche y nosotras estamos cansadas. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Utilitarian theories She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. 2.10) Which of the following best describes how alternative health therapies are being perceived? Provide quality health care while containing costs. 1 . 20. 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. Freedom from a Foreign Animal Disease in a country (such as Foot and Mouth Disease) usually includes being free of clinical disease and vaccinating against the disease. E) The managed care system may required approval for specialty care. 3. 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. A. Without advertising income, we can't keep making this site awesome for you. Chapter 08- Healthcare Delivery Systems - 1. Which of the following An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. 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). D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? a) managed care. c. Also write ELL above each elliptical clause. 26. The most common health plans available today often include features of managed care. A POS plan is not an HMO, but it is a managed care plan that combines the characteristics of an HMO and a preferred provider organization (PPO) (discussed below). 21. c. B. Designating access to barns and water for firefighters. 23. is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service, makes it possible to compare the performance of health plans on an "apples-to-apples" basis. yo poner sus cosas debajo del asiento 27. The group plan will pay a portion of the employee's expenses B. 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. A. include payments made directly or indirectly to health care providers to encourage them to reduce or limit services (e.g., discharge an inpatient from the hospital more quickly) so as to save money for the managed care plan. universal health insurance. a. 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 3. I. A. to b. B. Cambodia Crime. 2.1) Which of the following best describes the form of medical practice management in which the provider's personal property is attached and may be sold if the business fails? All of the highly compensated employees are covered by the, plan. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? C. Disasters are declared starting at the local, then state, then federal level. A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. The Incident Command System provides a consistent method to respond to all types of emergencies. Showing All parties should foster an ethical environment for the delivery of effective and efficient quality health care. C. Volunteer organizations are the only source of disaster assistance at the locallevel. It aims toward lower premiums and preventive care benefits. Tax-exempt accounts that are offered by employers with 50 or more employees, which individuals use to pay health care bills. 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. Qu hacemos? llegar a tiempo 51 which of the following statements about managed - Course Hero C. Only if flowing water is above your waist is it too high to cross. B) The care of the patient is carefully planned and monitored by the primary care provider. The _______ serves as a gatekeeper by providing essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists. Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. 4. D. All of the above. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Which of the following phrases is characteristic of case management as a method of healthcare delivery? 2.14) Mrs. J. has just seen her provider. d. Network model 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? 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. B) The care of the patient is carefully planned and monitored by the primary care provider. es importante los pasajeros seguir las instrucciones de seguridad Select all that apply. which of the following statements describes managed care? C) Short- and long-term results of cost-containment measures are undetermined. What is the minimum number of the 900 non, highly compensated employees who must be covered by the. Which of the following statements iscorrectregarding the disposal ofcarcasses? 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 Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Which of the following best describes vendor managed - Course Hero C. Disasters are declared starting at the local, then state, then federal level. Libertarian theories What is the confusion that might arise concerning her treatment and care is a problem known as? 13. National Committee for Quality Assurance (NCQA). A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . A triple option plan provides patients with more choices than a traditional managed care plan. 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.

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