define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. D. Floods are an uncommon cause of natural disaster in the United States. Ms. A Chap 1-4 Flashcards - Cram.com B. FEMA helps States by reviewing and coordinating State emergency plans. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? single payer systems. C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. D. A good time to check your window shutters and supply of boards, tools, batteries, nonperishable foods, bottled water, and other equipment is during a hurricane watch. Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. Never tie an animal up if floods are pending. The use of an out-of-area contact can be an effective way to coordinate in disasters. all of the above. Providers are employees of the organization. 2.9) Which of the following is an eye specialist? Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. 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? _______ were created to manage benefits and to develop participating provider networks. certificate of need programs. Relate What evidence indicates that oceans formed early in Earth's geologic history? Patient care . Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. Without advertising income, we can't keep making this site awesome for you. Answer the following questions about these Canadian artists. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. FEMA IS 111.A: Livestock in Disasters Answers Federal agencies are usually activated directly in response to requests from local emergency managers. b. 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 . 2.4) Which of the following best describes the process of screening in the medical office setting? 20. 15. Select all that apply. A) primary care B) respite care C) bereavement care D) palliative care, 12. c. 3) What are the minimum age and service requirements that can be imposed on employees eligible to participate, A) age 18 and 6 months of service B) age 21 and 1 year of service, C) age 21 and 3 years of service D) age 25 and 4 years of service. 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. Which of the following statements apply to the transportation of livestock? B. A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). [11 Proven Strategies], 20 Best Companies for Employee Benefits & Perks 2022, Learning Graphic Design: 9 Easy First Steps for Beginners - Self-Made Designer, Solitario clsico - Solitario de tres turnos, FR Legends Supra MOD APK (2022) [Unlimited Money] Free Download, Cops can't break these rules if you're pulled over | finder.com, Massey Ferguson: Tractor Warning Light Meanings. Staff Model HMO Non-Profit Bylaws Last revision 09/27/2022 Formats Word and PDF Size 6 which of the following statements describes managed care? (2022) All of the highly compensated employees are covered by the, plan. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. 4. Preferred provider organization (PPO) 16. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. 4. D. All of the above. [The work functions are Ta (6.811019J)\left(6.81 \times 10^{-19} \mathrm{~J}\right)(6.811019J), Ba(4.301019J)\mathrm{Ba}\left(4.30 \times 10^{-19} \mathrm{~J}\right)Ba(4.301019J), and W (7.161019J)\left(7.16 \times 10^{-19} \mathrm{~J}\right)(7.161019J); work function is explained . Damage from mudflows cannot be covered by insurance. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. Which one of the following statements best describes the family caregiver burdens of providing home care ? 4. Most natural disasters affect local communities least of all. 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. Patients' needs are assessed and prioritized. True or false? A) A PPO is a group of health care providers, such as doctors, hospitals, and ambulatory health care organizations, that contracts with a group to provide their services. 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. EJEMPLO: Es probable que nosotros evitemos una tempestad. Which of the following statements would be most appropriate for the nurse to make? Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. B. Relationships are not critical in the delivery of health services. A. Solved Question 69 (1 point) Which of the following | Chegg.com If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. FEMA IS-120.C: An Introduction to Exercises Answers. e. Staff model Usually, all ambulatory services are provided within HMO corporate buildings. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. B. 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 D. All of the above. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. It aims toward lower premiums and preventive care benefits. c. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. A. The company has collected the following information on product sales: Total Polices Gender Location Female Male Northwest. 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. . Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. 6. Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. 92) Which of the following best describes vendor managed inventory? is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. [Solved] Which of the Following Statements Describes Managed Care A risk pool is created when a number of people are grouped for insurance purposes (e.g., employees of an organization); the cost of health care coverage is determined by employees' health status, age, sex, and occupation. Once you have chosen a verb, write the correct! Which of the following statements accurately describes disaster assistance? is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. Doctors Without Borders They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. C. Practice a fire drill every month throughout the fire season. Which of the following statements accurately describes the clinical nurse leader (CNL)? Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. B. which of the following statements describes managed care? Do you think Krauthammer fairly characterizes libertarian thinking? A) Managed care systems control the cost of care with a lower quality of care. which of the following statements describes managed care? Managed care can now be categorized according to six models: 1. 53. immunizations and screenings included in benefits 54. Then, identify each adjective clause as essential (E) or nonessential (N). These include provider networks, provider oversight, prescription drug tiers, and more. Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. It has. It is necessary for it to be raining to be struck by lightning. of Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . is a nonprofit organization that contracts with and acquires the clinical and business assets of physician practices; the _____ is assigned a provider number and manages the practice's business. Which of the following statements is/are correct regarding the humane care of animals in disasters? Contracted health care services are delivered to subscribers by individual physicians in the community. 2. 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. ch 6 Flashcards | Quizlet benefit pension plan? Answer: B. In contrast, traditional health insurance coverage is usually provided on a fee-for- service basis in which reimbursement increases if the health care service fees increase, if multiple units of service are provided, or if more expensive services are provided instead of less expensive ones (e.g., brand-name versus generic prescription medication). es mejor todo el mundo tomar su asiento en seguida Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. 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. Which of the following best describes vendor managed - Course Hero A. Floodwaters are frequently contaminated with hazardous chemicals. Exclusive provider organization (EPO) 1. The local Department ofAnimal Controlis the legal entity in most communities to deal with abandoned and lost animals. I. Cyberwarfare is an attack carried out by a group of script kiddies Cyberwarfare is simulation software for Air Force pilots that allows them to practice under a simulated war scenario Cyberwarfare is a series of personal protective equipment developed for soldiers involved in nuclear war 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? 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. Patients should be well informed about care and treatment options. C) The patient gets the bill and pays out-of-pocket costs. B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. 8-10.doc - 1. Which of the following statements accurately describe an I. 9. The marketing department is launching a new advertising campaign. (The catastrophic limit is usually higher than those common in other plans.) b. distal radius In each of the given sentences, underline the subordinate clause. 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). withdrawn to cover qualified medical expenses is tax-free. A. It is the result of a joint venture between hospitals and members of their medical staff. Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? Patient care delivery 2. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" D. Large-scale disasters affecting livestock never have serious implications for State revenues. B. D. The USDA responds to disasters that threaten national food production, processing and distribution. 26. Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. 5. D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. 19. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. Ice dams on roofs and large icicles are uncommon causes of building collapse. OPEN-PANEL HMO, Direct Contract Model. D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. B) Risk management is concerned with reducing exposure to legal liability. Select all that apply. Which of the following statements about funding sources for nurse It is a system that is based on patient and provider autonomy. 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. Select one: O a. Brace anchor all tall or top-heavy objects. 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. What type of insurance is most likely involved? Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. D. Heat stress in animals only occurs under conditions of extreme heat. The Incident Command System provides a consistent method to respond to all types of emergencies. 21. In the following sentences, circle each incorrectly used lowercase letter. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. B. es importante los pasajeros seguir las instrucciones de seguridad Health care services are provided to subscribers by physicians employed by the HMO. What is one way in which nurses can help shape healthcare reform? 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). Health plans also use HEDIS results themselves to see where they need to focus their improvement efforts. 1. In outbreaks reported from acute care settings in the U.S. following implementation of unive. 24 c. Step-by-step explanation 2.12) Which of the following does not apply to the role of a medical assistant? D. All of the above. Storing patient care information: All of the primary purposes of the health record are associated directly with the provision of patient care services. Which of the following statements arecorrect? 5) Which of the following statements describes a defined. A mutual fund is required to use the services of a mutual fund custodian. which of the following statements describes managed care? 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. results. A. Livestock agriculture is more widely dispersed than ever before. Which of the following statements is correct regarding floods? A. 6) All of the following are types of health care facilities except: A) physicians' office. POS enrollees pay less if they use the plan's in-network providers. Institutions vary in their level of formality and informality. A triple option plan provides patients with more choices than a traditional managed care plan. E) The managed care system may required approval for specialty 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. which of the following statements describes managed care? Solved 25. Which of the following statements about managed - Chegg Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. Which of the following statements correctly describes animal disease outbreaks? 1. A. Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. follow in the model. Documentation of ownership may be needed to reclaim a lost animal. HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. Cambodia Crime. Which of the following statements about risk management is true - Weegy Employees contribute funds to the FSA through a salary reduction agreement and withdraw funds to pay medical bills. D. All of the above. 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. a) managed care. Qu hacemos? The _______ serves as a gatekeeper by providing essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists. Which of the following statements will NOT reduce risks arising from wildfires? b. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report These are designed to manage . Consumer-Directed Health Plans include the following tiers: Tax-exempt account, which is used to pay for health care expenses and provides more flexibility than traditional managed care plans in terms of access to providers and services An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. which of the following statements describes managed care? a. es posible nosotros permanecer sentado(s) 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. which of the following statements describes managed care? Costs from animal disease outbreaks include loss of production andreplacementof animals. which of the following statements describes managed care? Proper watershed, forest, and rangeland management is effective mitigation against droughts. Chapter 15 Flashcards | Quizlet Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? A) The contribution rate isfixed, but the retirement benefit is not known in advance. "Don't drop out of school." b. A. 2.6) Which of the following best describes the alternative medicine modality of homeopathy? D) Historically, payment for healthcare services encouraged the use of expensive services. Peer review organizations (PROs). 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.
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