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A) Managed care systems control the cost of care with a lower quality of care. 2. establishes a contract that allows physicians to maintain their own offices and share services (e.g., appointment scheduling and billing). A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. Select one: O a. Which of the following is a trend to watch in healthcare delivery? FEMA IS-120.C: An Introduction to Exercises Answers. 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. Which of the following statements arecorrectregarding injuries and damages that result from earthquakes? This type of economic structure best describes which of the following? 2. 5. Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. C. Disasters are declared starting at the local, then state, then federal level. B. View the full answer. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? A. 4. D) Medicare and Medicaid will pay most of the costs. 20. 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). b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. Yo almuerzo_______ (almorzar-entender) en la cafetera. Most human injuries in earthquakes result from falling objects. C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? What managed care means? Which of the following statements about managed care are true? Definition. Specialty Pharmacy J. Industry/Manufacturing. If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. What type of agency is this? A. 5) Which of the following statements describes a defined. 30. yo poner sus cosas debajo del asiento Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. 22. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. 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. 2.9) Which of the following is an eye specialist? Tax-exempt accounts that are offered by employers with 50 or more employees, which individuals use to pay health care bills. F) Competition among hospitals has further fueled the increase in health costs. Answer the following questions about these Canadian artists. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. If enrollees choose to receive all medical care from the managed network of health care providers, or obtain an authorization from their POS primary care provider for specialty care with an out-of-network provider, they pay only the regular copayment or a small charge for the visit and they pay no deductible or coinsurance costs. Select all that apply. B) genetics and income. d. 23. gilead sciences canada jobs. es importante los pasajeros seguir las instrucciones de seguridad C) The supplier delivers only what the customer needs. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. Which of the following statements about the nursing process is true. Which of the following statements correctly describe liability issues in disasters? Unlike traditional fee-for-service. It attempts to control costs by modifying the behavior of providers and patients. 2.16) Twenty-five percent of urgent care patients do not have which of the following? 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. 2. 2.6) Which of the following best describes the alternative medicine modality of homeopathy? D.Carcassesmust be disposed of onsite. B. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? Provide quality health care while containing costs. What statement describes the most important function of the health record? e. Select all that apply. 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. CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. e. 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. C) The nurse is considered the "gatekeeper" in the managed care system. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. prestar mucha atencin. Managed care plans implement _______ as a method of controlling health care costs and quality of care. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. The term used to describe sophisticated and highly complex medical care is. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. Prior to scheduling elective surgery, managed care plans often require a _______; that is, a second physician is asked to evaluate the necessity of surgery and recommend the most economical, appropriate facility in which to perform the surgery (e.g., outpatient clinic doctor's office versus inpatient hospitalization). Models include physician-hospital organizations, management service organizations, group practices without walls, integrated provider organizations, and medical foundations. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. which of the following statements describes managed care? d. A. fern storage cabinet anthropologie / normaliser un vecteur propre / normaliser un vecteur propre Which of the following statements arecorrect? The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? Which of the following describes one of the elements that the nurse practitioner has successfully met? Having fire tools handy at your home and in your barn: a ladder, garden hoses, fire extinguishers, gas-operated water pumps, shovels, rakes, and buckets. It has. Which of the following statements accurately describes disaster assistance? 5. Which of the following statements describes appropriate procedures for dealing withanimal health/disease? Communitarian theories. A. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. D. Floods are an uncommon cause of natural disaster in the United States. D. All of the above. A) primary care B) respite care C) bereavement care D) palliative care, 12. A. C) education and income. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. a. Which of the following statements are considerations for managed care organizations? Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. b. a condition in which the nasal septum strays from the midline of the nasal cavity, c. a chronic bacillus infection that usually affects the lung and is caused by a mycobacterium, d. an inflammation of the mucous lining of the larynx, e. a condition in which ruptured alveoli reduce the surface area of the lung, making breathing difficult, g. an obstructive disorder characterized by recurring spasms of the smooth muscles of the bronchi, i. an inflammation or infection of the pharynx, j. a disease characterized by a lack of surfactant in the alveoli; usually occurs in premature infants. Which of the following statements accurately describes the clinical nurse leader (CNL)? 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. Ice dams on roofs and large icicles are uncommon causes of building collapse. benefit pension plan? 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. Healthcare Effectiveness Data and Information Set (HEDIS). 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. A) The U.S. healthcare system has been experiencing a financial crisis. 1. 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. C. Volunteer organizations are the only source of disaster assistance at the locallevel. Which of the following statements iscorrectregarding heat stress in livestock? 24. Which of the following statements best describes this system? 9. utilization management (or utilization review). 1 . 2.19) Who best knows the patient's body and financial situation? An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. 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. 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.