which of the following statements describes managed care?

B. D. All of the above. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. 4) Which of the following statements about retirement ages in pension plans is (are) true? Individual Practice Association (IPA) HMO Network Model HMO. Premiums and other revenue are paid to the HMO. B. Thunderstorms and their consequences are common, but rarely create problems. B) The care of the patient is carefully planned and monitored by the primary care provider. 2. 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. C) education and income. D) Risk management is a spontaneous response to an unexpected incident. To create flexibility in managed care plans, some HMOS and preferred provider organizations have implemented a _______, under which patients have freedom to use the managed care panel of providers or to self-refer to out-of-network providers. Which of the following best describes the connection between ethics and health care financing? Which of the following statements describes cyberwarfare? utilization management (or utilization review). The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. Managed care can now be categorized according to six models: 1. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. B. Designating access to barns and water for firefighters. A. C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. Which of the following statements is correct regarding floods? A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. 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. Ms. A Chap 1-4 Flashcards - Cram.com 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. I. Essay: Managed Care: Promise and Concerns | Health Affairs In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? Select all that apply. Which of the following ethical theories place the community, rather than the individual, the state, the nation, or any other entity, at the center of the value system? Included in HEDIS is the________, which measures members' satisfaction with their care in areas such as claims processing, customer service, and getting needed care quickly. manages the delivery of health care services offered by hospitals, physicians (who are employees of the _____), and other health care organizations (e.g., an ambulatory surgery clinic and a nursing facility). Which of the following statements iscorrectregarding the disposal ofcarcasses? 2.17) Approximately how many boutique operations are there in the United States? Damage from mudflows cannot be covered by insurance. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. A home healthcare agency providing care in a local community is supported by the United Way and local donations. Consumer-directed health plans (CDHPS) provide incentives for controlling health care expenses and give individuals an alternative to traditional health insurance and managed care coverage. Group model A. Livestock agriculture is more widely dispersed than ever before. Which of the following terms best describes this type of healthcare setting? All definitions of institutions generally entail that there is a level of persistence and continuity. Managed care gives rise to ethical problems associated with balancing utilitarian views of cost-effective care with a respect for persons and the traditional view of a duty to care. which of the following statements describes managed care? 2.11) Concierge care does not offer patients which of the following? prestar mucha atencin. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. 5. B. to A triple option plan provides patients with more choices than a traditional managed care plan. Select all that apply. Choose the correct description or cause of pharyngitis. managed care. Which terms best describes those who receive managed health care plan 2.8) Which of the following best describes the type of medical office practice in which providers network to offer discounts to employers and other purchasers of health insurance? B) The care of the patient is carefully planned and monitored by the primary care provider. B. e. National rivers, which are among the categories, are overseen by the bureau. 2.6) Which of the following best describes the alternative medicine modality of homeopathy? The term used to describe sophisticated and highly complex medical care is. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. Which of the following statements accurately describe an aspect of managed care? Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. B. 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). c. 19694 What statement describes the most important function of the health record? Health care services are provided to subscribers by physicians employed by the HMO. 51 which of the following statements about managed - Course Hero b. Definition. 26. 30. an organized effort by health plans and providers to use financial incentives and organizational. 5. Per the PPACA, employees are permitted to carry over up to $500 of unspent funds remaining in the FSA at the end of the year. Select all that apply. C) The supplier delivers only what the customer needs. Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. Which of the following statements accurately describes the activation of federal agencies in disasters? After a stroke, a patient is having difficulty swallowing. D. Animals will frequently resist walking through flowing water. Which of the following statements about managed funds is NOT correct? B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. A grade school is preparing a series of classes on the dangers of smoking. Direct contract model 18. B. Medicare established the __________ to ensure the accountability of managed care plans in terms of objective, measurable standards (requirements). 26. A coup d'tat (/ k u d e t / (); French for 'stroke of state'), also known as a coup or an overthrow, is a seizure and removal of a government and its powers. A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. Institution - Wikipedia which of the following statements describes managed care? 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? C) The nurse is considered the "gatekeeper" in the managed care system. MA NCCT EXAM Flashcards | Quizlet C) The contribution rate is, variable, and the retirement benefit is not known in advance. 2. 2.4) Which of the following best describes the process of screening in the medical office setting? C) The nurse is considered the gatekeeper in the managed care system. It is the result of a joint venture between hospitals and members of their medical staff. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. which of the following statements describes managed care? The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? efficient and lower cost manner. C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. 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. Staff Model HMO Professional standards review organizations (PSROs). Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. Which of the following statements correctly describe liability issues in disasters? A. Which of the following is true? d. Course Hero is not sponsored or endorsed by any college or university. 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. b. A. [Solved] Which of the following statements describes managed care organizations? C. Practice a fire drill every month throughout the fire season. A. Disasters can be a threat to animal well-being. They are intended to prevent the problem of covering members who are sicker than the general population (called adverse selection). June 30, 2022 . Annual physical examinations are encouraged for the early detection of health problems. C. In most States, Good Samaritan Laws do not directly apply to the care of animals. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. Which of the following is NOT relevant to the care of animals in floods? 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. 2.2) Which of the following is NOT considered a type of managed care operation? 10. Unlike traditional fee-for-service. B. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. Up-to-date lists of patient copayments and fees for each managed care plan contract Special patient interviews to ensure preauthorization and to explain out-of-network requirements if the patient is self-referring 6) All of the following are types of health care facilities except: A) physicians' office. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. 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. B. Which of the following statements about funding sources for nurse 2. withdrawn to cover qualified medical expenses is tax-free. Describe the three levels of Sumerian society. a) managed care. Which of the following statements accurately describes the clinical nurse leader (CNL)? 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. If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. Even though managed care. ch 6 Flashcards | Quizlet B) The care of the patient is carefully planned and monitored by the primary care provider. 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. What is the confusion that might arise concerning her treatment and care is a problem known as? 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. Medical practice that treats disease, such as medications and surgery Allopathic Individual contributes to the injury or condition Contributory negligence A person under the age of 18 who has been legally separated from his/her parents Emancipated minor Discontinue medical care without proper notice after accepting a patient Abandonment Preferred provider organization (PPO) A variety of measures can be used; measures may be simple or complex; it is recommended that measures be straightforward, understandable, and valid. Which of the following correctly describes the role of the USDA in disasters? a. State disaster declarations can only be made when more than one community is affected. A. Which of the following statements accurately describes disaster assistance? D. All of the above. (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? 5. 4. C) The nurse is considered the "gatekeeper" in the managed care system. If the enrollee sees a non-managed care panel specialist without a referral from the primary care physician, this is known as a self-referral. Institutions vary in their level of formality and informality. B) The cost of healthcare in the United States has decreased dramatically. C. Disasters are declared starting at the local, then state, then federal level. The marketing department is launching a new advertising campaign. a. You ask her the reason for seeing her provider. 1. Exam 1 Review Questions Flashcards by Cam Bui | Brainscape Shared post - One Year Later, Biden Fails to - greenwald.locals.com Which of the following statements arecorrect? Relationships are not critical in the delivery of health services.

which of the following statements describes managed care? 2023