Smallville Mall's insurer knows the existence, Insurable interest may exist when Select one: a.Julia has insurance on a car she just sold, b.Wells Fargo bank lends Tien $300,000 to buy a house and buys insurance on the house, c.Anthony, a, Assume that the following probability distribution exists for automobile damages. D. All of the above. prestar mucha atencin. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? Which of the following statements about the history of home healthcare nursing is most accurate? a. proximal radius Which of the following statements iscorrectregarding droughts? 5. b. distal radius A. D) Risk management is a spontaneous response to an unexpected incident. Managed care plan enrollees receive care from a ________ selected from a list of participating providers. 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. ch.08 Flashcards | Quizlet In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? D) Pension benefits attributable to the employer, s contributions are not taxed until the employee retires or, 2) Beta Corporation has 1,000 employees eligible to participate in the firm, employees are considered highly compensated. Son las diez de la noche y nosotras estamos cansadas. an organized effort by health plans and providers to use financial incentives and organizational. D. Small amounts of snow never have devastating effects on a community. C) education and income. withdrawn to cover qualified medical expenses is tax-free. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. Which of the following are effective MITIGATION (reduction, prevention) activities for farms? B. Triple option plan. A. How would the nurse respond? D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. 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. What type of care might the nurse suggest to give her some much-needed time of her own? B) The contribution rate is fixed, and the retirement benefit is known in advance. If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). B. d. a and b only. In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet A. A) The insurance company pays all or most of the costs. (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? which of the following statements describes managed care? B. Thunderstorms and their consequences are common, but rarely create problems. 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. 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. horse hind leg tendon sheath. D. All of the above. . [Solved] Which of the Following Statements Describes Managed Care Patients' needs are assessed and prioritized. D. Large-scale disasters affecting livestock never have serious implications for State revenues. c. Individual (or Independent) practice association (IPA) 1. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. 7. "Don't drop out of school." b. horse hind leg tendon sheath. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Contracted health care services are delivered to subscribers by individual physicians in the community. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. 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 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. A person receiving healthcare insurance from his employer knows that he should check the approved list of contracted healthcare providers before seeking services in order to receive them at a lower cost. B) epidemiology. 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. d. Network model B) The care of the patient is carefully planned and monitored by the primary care provider. Hazardous materials released during floods will flow away with the water. 2. 10. Doctors Without Borders C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. Coup d'tat - Wikipedia utilization management (or utilization review). I. B. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. llegar a tiempo Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. D. The USDA responds to disasters that threaten national food production, processing and distribution. 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. Select one: O a. (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. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. Continuing Healthcare Funding issues - why isn't it simple to apply? Which of the following statements is correct regarding floods? In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? Federal agencies are usually activated directly in response to requests from local emergency managers. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. 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). A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. follow in the model. B. Composting is no longer used to dispose of any livestockcarcasses. fixed, but the retirement benefit is not known in advance. Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. Discontinued Capitation, adopted fee-for-service. Es el medioda y t tienes hambre. 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. 6) All of the following are types of health care facilities except: A) physicians' office. I. Essay: Managed Care: Promise and Concerns | Health Affairs True: Name 3 of the primary purposes of the health record. B. a. information disclosure regulation b. establishing minimum standards and monitoring compliance, The Smallville Mall has assumed the responsibility for payment of liability losses caused by Chuck's Famous Pizza to attract the pizza chain to the mall. Institutions vary in their level of formality and informality. 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 . 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. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" This idea supports which of the following economic theories for which Rawles was a proponent? Even though managed care. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. Which of the following statements best describes an integrated delivery system? Also write ELL above each elliptical clause. What type of insurance is most likely involved? D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. B. Which of the following statements about managed care are true? D. All of the above. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A D. Floods are an uncommon cause of natural disaster in the United States. do australian shepherds have a good sense of smell; matan adelson net worth; words that rhyme with crime; fattmerchant customers; shoulder holster for ruger lcrx 3 inch barrel Local plans allow communities to integrate with state and federal response to disasters. 1. b. Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. managed care. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. a. C) Reimbursement is usually based on fee-for-service. Also called independent practice association (IPA) HMO, contracted health services are delivered to subscribers by physicians who remain in their independent office settings. C) The nurse is considered the "gatekeeper" in the managed care system. A. ICT also includes analog technology, such as paper communication, and . It lowers cost through the elimination of waste and excess. This type of economic structure best describes which of the following? POS enrollees pay less if they use the plan's in-network providers. 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. A) physical therapist C) social worker B) speech therapist D) respiratory therapist, 15. d. d. The nurse may make a referral to what member of the healthcare team? What is one responsibility of nurses who work in physicians' offices? A. State disaster declarations can only be made when more than one community is affected. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. 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. 20. 4) Which of the following statements about retirement ages in pension plans is (are) true? Money deposited (and earnings) is tax-deferred, and money. Yet, segments of the health care system maintain aspects of a free-market competition. Accreditation of Managed Care Organizations. 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? 8-10 - 1. Which of the following statements accurately describe an managed care plans because of restrictions placed upon their freedom to treat patients. Case managers do not use the nursing process. 8. 2. What is Managed Care? | Cigna C. Hurricanes frequently cause flooding along the coast, but not inland. efficient and lower cost manner. which of the following statements describes managed care? 24 c. 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. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? A. c. D) Medicare and Medicaid will pay most of the costs. The use of an out-of-area contact can be an effective way to coordinate in disasters. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. 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. Without advertising income, we can't keep making this site awesome for you. B. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. B. b. Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. 20. . Which of the following statements about risk management is true? Which of the following statements is correct about the behavior of landslides? CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. It is attentive to the needs of the membership group and individual patients. 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. D. Landslides rarely affect agricultural property. Which of the following is NOT relevant to the care of animals in floods? Ch. 9: Other Health Insurance Concepts Flashcards | Chegg.com C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. D. All of the above. B. Which terms best describes those who receive managed health care plan 6. All definitions of institutions generally entail that there is a level of persistence and continuity. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. Which of the following phrases best describes hospitals today? B. 2.16) Twenty-five percent of urgent care patients do not have which of the following? Ch. 8 Community Health Practice Questions Flashcards | Quizlet They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. Solved 25. Which of the following statements about managed - Chegg B) The care of the patient is carefully planned and monitored by the primary care provider. Which of the following statements best describes this system? fee-for-service. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. Group Model HMO B. plans emphasize cost control, total health benefit costs continue to increase. A. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Healthcare Effectiveness Data and Information Set (HEDIS). Patients should be well informed about care and treatment options. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. c. Individual Practice Association (IPA) HMO. HMO Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. 25. Libertarian theories e. The National Committee for Quality Assurance (NCQA) reviews managed care plans and develops report cards to allow health care consumers to make informed decisions when selecting a plan. C. Volunteer organizations are the only source of disaster assistance at the locallevel. which of the following statements describes managed care? B. D) profession and income. Animals that have recently moved from a warmer to a colder climate are at a greater risk of hypothermia than animals that have lived in a colder climate for longer periods. Which of the following statements correctly describes animal disease outbreaks? Information and communications technology - Wikipedia Specialty Pharmacy J. Industry/Manufacturing. 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. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . 30. ayudar a los otros pasajeros Non-Profit Bylaws Last revision 09/27/2022 Formats Word and PDF Size 6 Other plans contract with a _________, an organization that provides health benefits claims administration and other outsourced services for self-insured companies. 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 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 6. A) The U.S. healthcare system has been experiencing a financial crisis. The most common health plans available today often include features of managed care. retire without receiving actuarially reduced benefits. If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. Select all that apply. For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. arrangements to alter provider and patient behavior so that health care services are delivered and utilized in a more. Which of the following terms best describes this type of healthcare setting? Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. 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. C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. 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. Select all that apply. 1 OPEN-PANEL HMO, Direct Contract Model. Which of the following statements is correct regarding disasters? B) Risk management is concerned with reducing exposure to legal liability. d. D. All of the above. Select all that apply. POS enrollees who receive care from out-of-network providers pay higher deductible and coinsurance amounts. What managed care means? Marcos and his horse will lead the tyler fourth of july parade. B. d. Juan trabaja de asistente de vuelo y habla con los pasajeros. which of the following statements describes managed care? I get so confused." B. FEMA helps States by reviewing and coordinating State emergency plans. a payment system based on Diagnosis related groups (DRGs). 2.19) Who best knows the patient's body and financial situation? Nurses who are employed in home care have a variety of responsibilities. 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.