Money deposited (and earnings) is tax-deferred, and money. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice Ice dams on roofs and large icicles are uncommon causes of building collapse. A. A. precertification. A. Possible Outcomes for Expected Value Damages, 2. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. It aims toward lower premiums and preventive care benefits. B) The contribution rate is fixed, and the retirement benefit is known in advance. Libertarian theories A. B. 4. A variety of measures can be used; measures may be simple or complex; it is recommended that measures be straightforward, understandable, and valid. A triple option plan provides patients with more choices than a traditional managed care plan. Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days a. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. 7. She explains that a reoccurring rash on her legs has been bothering her, and her provider wants the other doctor to examine the rash and treat her if possible. gilead sciences canada jobs. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Under extreme heat conditions, livestock require less than 10%body weightof water per day. b. 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. What is one way in which nurses can help shape healthcare reform? which of the following statements describes managed care? C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. [Solved] Which of the following statements describes managed care organizations? The NCQA began accrediting managed care programs in 1991 when a need for consistent, independent information about the quality of care provided to patients was originally identified. (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. A) primary care B) respite care C) bereavement care D) palliative care, 12. Health plans also use HEDIS results themselves to see where they need to focus their improvement efforts. Select all that apply. 17. Tax-exempt accounts that are offered by employers with 50 or more employees, which individuals use to pay health care bills. I. A. 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 . 24. B) epidemiology. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. D. The USDA responds to disasters that threaten national food production, processing and distribution. Expert Help. external quality review organization (EQRO). Managed care plans emphasize cost controls and preventative care. Patient care . 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? fixed, but the retirement benefit is not known in advance. HSA stands for health savings account, and HSA-qualified plans can be HMOs, PPOs, EPOs, or POS plans. 2. What type of insurance is most likely involved? A) The contribution rate is. 26. B. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Which of the following statements would be most appropriate for the nurse to make? B. D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. d. 18. A) Managed care systems control the cost of care with a lower quality of care. [Solved] Which of the Following Statements Describes Managed Care single payer systems. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. 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. It is attentive to the needs of the membership group and individual patients. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. Which of the following statements accurately describes the activation of federal agencies in disasters? Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. 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. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. 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. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. b. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. 2. 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. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. which of the following statements describes managed care? Unlike traditional fee-for-service. 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. ch.08 Flashcards | Quizlet Which of the following is true? Providers are employees of the organization. withdrawn to cover qualified medical expenses is tax-free. D. Small amounts of snow never have devastating effects on a community. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report An elderly woman has total care of her husband with Alzheimer's disease. Preferred provider organization (PPO) The Incident Command System provides a consistent method to respond to all types of emergencies. Chapter 08- Healthcare Delivery Systems - 1. Which of the following plan in order for the plan to satisfy the ratio test? 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. B. d. Institution - Wikipedia how has dissection been used in engineering; which of the following statements describes managed care? is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. c. Individual (or Independent) practice association (IPA) e. D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. C) The nurse is considered the gatekeeper in the managed care system. 1. 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. 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. 12. Healthcare Effectiveness Data and Information Set (HEDIS). 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. which of the following statements describes managed care? Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? Which of the following statements accurately describe an aspect of managed care? Which of the following organizations provides independent, impartial assistance in more than 60 countries to people whose survival is threatened by violence, neglect, or catastrophe, primarily due to armed conflict, epidemics, malnutrition, exclusion from health care, or natural disasters? Patients should be well informed about care and treatment options. (Network providers are usually reimbursed on a fee-for-service basis. 13. In outbreaks reported from acute care settings in the U.S. following implementation of unive. It is necessary for it to be raining to be struck by lightning. which of the following statements describes managed care? 51 which of the following statements about managed - Course Hero es importante los pasajeros seguir las instrucciones de seguridad 19. Step-by-step explanation a. A. Which of the following correctly describes the role of the USDA in disasters? Solved Which statement best describes the author's view of | Chegg.com State disaster declarations can only be made when more than one community is affected. Fixed-price reimbursement is a feature of managed care. Federal agencies are usually activated directly in response to requests from local emergency managers. B. is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. A PPO is not an HMO, but it is similar to an HMO because it is a managed care plan that provides enrollees with discounted health care through a network of providers. D. The USDA responds to disasters that threaten national food production, processing and distribution. 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. It is the result of a joint venture between hospitals and members of their medical staff.
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