I. Answer: 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) They actively recruit vulnerable populations. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? 18. f. Answer the following questions about these Canadian artists. A. C. Only if flowing water is above your waist is it too high to cross. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? 13. D. All of the above. The most common health plans available today often include features of managed care. Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. es mejor todo el mundo tomar su asiento en seguida Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. D. The USDA responds to disasters that threaten national food production, processing and distribution. A. Medicare was established in 1965 under Title XVIII of the Social Security Act as a federal health insurance program for individuals age 65 and older, regardless of income or health status. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? B. which of the following statements describes managed care? Which of the following statements accurately describes an aspect of home healthcare? which of the following statements describes managed care? 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. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. Which of the following is true? A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. 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. Nurses who are employed in home care have a variety of responsibilities. Peer review organizations (PROs). This question suggests which of the following? C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. 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. 51) Which of the following statements about managed care plans is (are) true? Communitarian theories. 2.11) Concierge care does not offer patients which of the following? A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. b. Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). 20. D. Allowing people to smoke in barns. Yo almuerzo_______ (almorzar-entender) en la cafetera. 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. B. 8. A. Patients' needs are assessed and prioritized. Which of the following is NOT relevant to the care of animals in floods? C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. D.Carcassesmust be disposed of onsite. C. FEMA is a primary source of education on disaster management in the U.S. 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. 2.17) Approximately how many boutique operations are there in the United States? Expert Help. efficient and lower cost manner. B) The supplier maintains the inventory for the buyer. Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. What managed care means? gilead sciences canada jobs. Patients do not need to be well informed about the financial benefit issues that affect the provision of care. Examples of health care cost containment in the 1980s included: Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. 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) Medicare and Medicaid will pay most of the costs. Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. Find answers to the next exam here: FEMA IS-120.C: An Introduction to Exercises Answers. Which of the following statements would be most appropriate for the nurse to make? The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. 19694 Definition. Most employees are covered under some form of managed care plan. Medicare and many states prohibit managed care contracts from containing_________, which prevent providers from discussing all treatment options with patients, whether or not the plan would provide reimbursement for services. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. B. is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. Which of the following statements apply to the transportation of livestock? 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. It aims toward lower premiums and preventive care benefits. d. C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. Which of the following statements arecorrectregarding injuries and damages that result from earthquakes? Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. Specialty Pharmacy J. Industry/Manufacturing. Qu haces t? The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). In Canada, almost all people are insured against the cost of all hospital and physician expenses through a government health insurance program. Proper watershed, forest, and rangeland management is effective mitigation against droughts. B. The use of an out-of-area contact can be an effective way to coordinate in disasters. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? 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. State disaster declarations can only be made when more than one community is affected. Quality Compass users benefit from the largest database of comparative health plan performance information to conduct competitor analysis, examine quality improvement and benchmark plan performance. Accreditation organizations develop standards (requirements) that are reviewed during a survey (evaluation) process that is conducted both offsite (e.g., managed care plan submits an initial document for review) and onsite (at the managed care plan's facilities). Which of the following statements about managed funds is NOT correct? B. managed care. Each line when completed, should have three words similar in meaning. B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. D) Hospitals are the preferred setting for service delivery. a) managed care. Which of the following phrases is characteristic of case management as a method of healthcare delivery? 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. Although you will first check with her provider, you are sure she is to see which of the following? B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Course Hero is not sponsored or endorsed by any college or university. For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. A. Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? 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. b.Health insurance payments and co-pays must be proportional to income. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. b. D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. which of the following statements describes managed care? (A) Give the symmetry number for each of the following molecules: Countries or subunits often also impose wealth taxes, inheritance taxes, estate taxes, gift taxes, property taxes, sales taxes, use taxes, payroll taxes, duties and/or tariffs . The federal _________ plan requires managed care plans that contract with Medicare or Medicaid to disclose information about ________ plans to CMS or state Medicaid agencies before a new or renewed contract receives final approval. It is a system that is based on patient and provider autonomy. ayudar a los otros pasajeros Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? 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. is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. It attempts to control costs by modifying the behavior of providers and patients. The traditional health care system in the United States is: d. 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. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? 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 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? Which of the following is a trend to watch in healthcare delivery? _______ were created to manage benefits and to develop participating provider networks. c. Direct contract model A. Disasters can be a threat to animal well-being. a. The marketing department is launching a new advertising campaign. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. Triple option plan. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. 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 __________. C. New animal arrivals to a farm should be placed in quarantine until a suitable time has lapsed to rule out the introduction ofcontagious disease. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. 2.10) Which of the following best describes how alternative health therapies are being perceived? Which of the following statements accurately describe an aspect of managed care? C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. ICT also includes analog technology, such as paper communication, and . 28. D) Risk management is a spontaneous response to an unexpected incident. establishes a contract that allows physicians to maintain their own offices and share services (e.g., appointment scheduling and billing). results. 3. Without advertising income, we can't keep making this site awesome for you. Managed care plans implement _______ as a method of controlling health care costs and quality of care. 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. B. Explain whether or not scientific methods are sets of procedures that scientists follow. D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. 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. a. 4) Which of the following statements about retirement ages in pension plans is (are) true? D. The USDA responds to disasters that threaten national food production, processing and distribution. Which of the following statements about risk management is true? 2. d. Network model If services provided to subscribers cost more than the capitation amount, the physician loses money. 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? 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. D. Floods are an uncommon cause of natural disaster in the United States. c. A. A. Usually, all ambulatory services are provided within HMO corporate buildings. 5) Which of the following statements describes a defined. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. D) There is only one supplier for all units of a particular product. 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. OPEN-PANEL HMO, Direct Contract Model. Patient care delivery 2. Which one of the following statements best describes the family caregiver burdens of providing home care ? If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). It attempts to control costs by modifying the behavior of providers and patients. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. Which of the following describes one of the elements that the nurse practitioner has successfully met? A mutual fund is required to use the services of a mutual fund custodian. I. e. Most human injuries in earthquakes result from falling objects. A. 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. It is attentive to the needs of the membership group and individual patients. 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. Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations. 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. 7. b. B. Showing suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. The only loss in disasters is to affected farms. D) profession and income. A) the healthcare institution itself C) American Medical Association B) Board of Healing Arts D) State Board of Nursing, 14. Select all that apply. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Health plans also use HEDIS results themselves to see where they need to focus their improvement efforts. What type of care might the nurse suggest to give her some much-needed time of her own? Health maintenance organization (HMO) Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. Which of the following statements accurately describes the clinical nurse leader (CNL)? c. HMO The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? single payer systems. e. d. distals carpals, Use the integral test to find whether the following series converge or diverge. 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. 1. B) The family of the patient is required to pay costs. 9. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. d. 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. Unlike traditional fee-for-service. is owned by hospital(s) and physician groups that obtain managed care plan contracts; physicians maintain their own practices and provide health care services to plan members. F) Competition among hospitals has further fueled the increase in health costs. II. C) The patient gets the bill and pays out-of-pocket costs. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. 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?

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