Why is this plan called a third-party payer? C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. Triple option plan. The term used to describe sophisticated and highly complex medical care is. Additional paperwork for specialists to complete and the filing of treatment and discharge plans View the full answer. c. C) The supplier delivers only what the customer needs. a payment system based on Diagnosis related groups (DRGs). The nurse may make a referral to what member of the healthcare team? B. II. You might think of a CDHP as a sort of "401(k) plan for health care" (recalling the shift from employer defined-benefit pension plans to employer defined-contribution 401(k) plans). (Network providers are usually reimbursed on a fee-for-service basis. b. distal radius Patients should be well informed about care and treatment options. A. Health Savings Account (HSA); Health Savings Security Account (HSSA). 3. B. A. Chapter 08- Healthcare Delivery Systems - 1. Which of the following Which of the following statements accurately describe an aspect of managed care? Group Model HMO 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. Patient care delivery 2. Cambodia Crime. 3. 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. 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. 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. Select all that apply. D.Carcassesmust be disposed of onsite. 28. C. Disasters are declared starting at the local, then state, then federal level. C) Short- and long-term results of cost-containment measures are undetermined. 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 ICT also includes analog technology, such as paper communication, and . If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. It lowers cost through the elimination of waste and excess. Chapter 2 Quiz Flashcards | Quizlet Staff Model HMO 6. Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. B. 12. Which of the following statements apply to the transportation of livestock? Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. A variety of measures can be used; measures may be simple or complex; it is recommended that measures be straightforward, understandable, and valid. a. proximal radius Most employees are covered under some form of managed care plan. Purchasing a generator as an alternative power supply. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. 2.11) Concierge care does not offer patients which of the following? ch 6 Flashcards | Quizlet Managed care plans implement _______ as a method of controlling health care costs and quality of care. 9. D. Animals will frequently resist walking through flowing water. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Faculty of English Commerce Ain Shams University, Ajman University of Science and Technology Ajman), BSBLDR403 Lead team effectiveness Assessment 2.docx, SELECT CURTIME SELECT CURTIME 0 HOUR time Returns the hour for time This code, 32 Extraction of data Data extraction improves strategies for incorporating, It is convenient to subdivide the receiver into two parts the demodulator and, The_Impact_of_Financial_Structure__Financial_Leverage_and_Profitability_on_Industrial_Companies_Shar, designates subordinate commanders to serve as joint functional component, Tutorial 5-Midterm RUBRIC-Feb 27[3643].pdf, existence of this power to increase sentences since legislation now provides for, 534 Consultation Status after Flare up The study also collected data on whether, private station rather than have had the glories of command If indeed such, through-the-cognitive-functions-lens-a-socio-technical-analysis.pdf, Which of the following statements about life insurance cash values is (are) true? What is one way in which nurses can help shape healthcare reform? A. 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. The owner of an escaped animal may be held liable for damages his/her animal creates. ch.08 Flashcards | Quizlet A) The contribution rate isfixed, but the retirement benefit is not known in advance. A) The U.S. healthcare system has been experiencing a financial crisis. benefit pension plan? Contracted health care services are delivered to subscribers by individual physicians in the community. Possible Outcomes for Expected Value Damages, 2. C. The number of animals that need to be evacuated from a farm is an important factor in determining how quickly a farm can be evacuated. D. Large-scale disasters affecting livestock never have serious implications for State revenues. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. 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. 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? Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Which of the following statements describes appropriate procedures for dealing withanimal health/disease? fee-for-service. Ch. 3 Managed Health Care Flashcards | Quizlet B. a. Definition. The Ultimate Anime Girl Names Generator + Meanings Aiko to Zakuro! which of the following statements describes managed care? B. A) There is minimal purchasing-oriented paperwork. Which of the following is a trend to watch in healthcare delivery? C. Disasters are declared starting at the local, then state, then federal level. C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. B. C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. B. Select all that apply. 11. 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. 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. b. 24 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. Then, identify each adjective clause as essential (E) or nonessential (N). C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. 20. Richard Nixon - Wikipedia A. 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. Disaster advice from the USDA is provided by the Cooperative Extension Service. 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. A) do their job and do it well B) refuse to participate in organizations C) support legislation to improve care D) become a member of a support group, Julie S Snyder, Linda Lilley, Shelly Collins. which of the following statements describes managed care? The nurse in charge of the clinic asks herself, "Who needs this medicine most?" FEMA IS-120.C: An Introduction to Exercises Answers. It is necessary for it to be raining to be struck by lightning. follow in the model. 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). Unused balances "roll over" from year to year; if an employee changes jobs, he or she can continue to use the HSA to pay for qualified health care expenses. A. Livestock agriculture is more widely dispersed than ever before. Patients should be well informed about care and treatment options. Correctly identify disorders of the wrist. 4) Which of the following statements about retirement ages in pension plans is (are) true? c.Health insurance must be This problem has been solved! is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. I get so confused." A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. c. proximal carpals Patients' needs are assessed and prioritized. Which of the following describes one of the elements that the nurse practitioner has successfully met? 1 Utilitarian theories C) education and income. D. Allowing people to smoke in barns. D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. Federal agencies are usually activated directly in response to requests from local emergency managers. Select all that apply. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. Which of the following is a natural consequence of utilitarian forms of health care financing? D) Hospitals are the preferred setting for service delivery. which of the following statements describes managed care? Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance. HMO A. 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). 26. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. 1. 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. trevor lawrence 225 bench press; new internal medicine residency; what channel does maury come on xfinity. is a physician or health care facility under contract to the managed care plan. F) Competition among hospitals has further fueled the increase in health costs. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. C) education and income. 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. 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. B. Healthcare in the United States - Wikipedia A. precertification. D. All of the above. And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. 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. This idea supports which of the following economic theories for which Rawles was a proponent? National Committee for Quality Assurance (NCQA). which of the following statements describes managed care? PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. Which of the following statements accurately describe an aspect of managed care? Find answers to the next exam here: FEMA IS-120.C: An Introduction to Exercises Answers. d. Documentation of ownership may be needed to reclaim a lost animal. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. Professional standards review organizations (PSROs). D. All of the above. how has dissection been used in engineering; which of the following statements describes managed care? If services provided to subscribers cost more than the capitation amount, the physician loses money. 2.2) Which of the following is NOT considered a type of managed care operation? gilead sciences canada jobs. D) Historically, payment for healthcare services encouraged the use of expensive services. Which of the following statements is correct about the behavior of landslides? A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. B) The care of the patient is carefully planned and monitored by the primary care provider. Patient care . A. B. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. 6. A. 5. 2. B) The cost of healthcare in the United States has decreased dramatically. Yet, segments of the health care system maintain aspects of a free-market competition. QUESTION 1 Medicaid plans face several operational challenges, D. All of the above. Costs from animal disease outbreaks include loss of production andreplacementof animals. 18. A. Course Hero is not sponsored or endorsed by any college or university. MA NCCT EXAM Flashcards | Quizlet B) The care of the patient is carefully planned and monitored by the primary care provider. Brace anchor all tall or top-heavy objects. 30. The group plan will pay depending on the employee's recovery C. The group plan will not pay because the employee was injured at work D. The group plan will pay C. _______ were created to manage benefits and to develop participating provider networks. He tells the nurse, "I don't know what that word, outpatient, means." 3. Healthcare Effectiveness Data and Information Set (HEDIS). Explain whether or not scientific methods are sets of procedures that scientists follow. Quality Improvement System for Managed Care (QISMC). What is the pressu re at the bottom of the water layer? fern storage cabinet anthropologie / normaliser un vecteur propre / normaliser un vecteur propre Communitarian theories. The only loss in disasters is to affected farms. Tax - Wikipedia B. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . 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 2.4) Which of the following best describes the process of screening in the medical office setting? 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. b. Fixed-price reimbursement is a feature of managed care. 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. It aims toward lower premiums and preventive care benefits. 2.9) Which of the following is an eye specialist? Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? Solved 25. Which of the following statements about managed - Chegg Doctors Without Borders horse hind leg tendon sheath. 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. Crop insurance to protect against the effects of summer storms. e. 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? d. Many scholars consider a coup successful when the usurpers seize and hold power for at least . Which of the following statements iscorrectregarding the disposal ofcarcasses? It is the result of a joint venture between hospitals and members of their medical staff. All definitions of institutions generally entail that there is a level of persistence and continuity. [Solved] Which of the following statements describes managed care organizations? Who would be most likely to teach the classes? Which of the following statements are considerations for managed care organizations? C. FEMA is a primary source of education on disaster management in the U.S. The local Department ofAnimal Controlis the legal entity in most communities to deal with abandoned and lost animals. What is the confusion that might arise concerning her treatment and care is a problem known as? 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. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. d. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. B) The contribution rate is fixed, and the retirement benefit is known in advance. A. Health care services are provided to subscribers by physicians employed by the HMO. Up-to-date lists of special administrative procedures required by each managed care plan contract D. The USDA responds to disasters that threaten national food production, processing and distribution. Ch. 8 Community Health Practice Questions Flashcards | Quizlet A. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. B. A. Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. Which of the following statements accurately describes the activation of federal agencies in disasters? 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Never tie an animal up if floods are pending. The financing of America's health care system has changed the way health care services are organized and delivered, as evidenced by a movement from traditional fee-for-service systems to managed care networks. F) Planning and monitoring are conducted to ensure standards are followed. A) The contribution rate is. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs.