A. 1 . Examples of health care cost containment in the 1980s included: D. The USDA responds to disasters that threaten national food production, processing and distribution. Individual Practice Association (IPA) HMO. Select all that apply. Documentation of ownership may be needed to reclaim a lost animal. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. B. Which of the following best describes vendor managed - Course Hero You ask her the reason for seeing her provider. 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. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. [Solved] Which of the following statements describes managed care organizations? e. Unlike traditional fee-for-service. C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. Documentation of ownership may be needed to reclaim a lost animal. Tax-exempt account that is used to pay for health care expenses. All of the highly compensated employees are covered by the, plan. It is also called a cafeteria plan (or flexible benefit plan) because of the different benefit plans and extra coverage options provided through the insurer or third-party administrator. A. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. A. Patients' needs are assessed and prioritized. 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. a. horse hind leg tendon sheath. Which of the following statements describes cyberwarfare? Damage from mudflows cannot be covered by insurance. 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . C. In most States, Good Samaritan Laws do not directly apply to the care of animals. 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 . It aims toward lower premiums and preventive care benefits. Patient care delivery 2. 23. 28. 4. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? II. Patients should be well informed about care and treatment options. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. 2.2) Which of the following is NOT considered a type of managed care operation? If services provided to subscribers cost more than the capitation amount, the physician loses money. Note In managed care, the primary care provider usually receives capitation payment and is responsible for managing all of an individual's health care, which includes reimbursing other caregivers (e.g., specialists). benefit pension plan? It attempts to control costs by modifying the behavior of providers and patients. a. View the full answer. 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. is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. 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. 4. 5) Which of the following statements describes a defined. 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. June 29, 2022. B. B. which of the following statements describes managed care? Chapter 15 Flashcards | Quizlet 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. Tax - Wikipedia B. 4. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad A. 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. ICT also includes analog technology, such as paper communication, and . 2.10) Which of the following best describes how alternative health therapies are being perceived? A. Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. 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. Contracted health care services are delivered to subscribers by individual physicians in the community. Quality Compass users benefit from the largest database of comparative health plan performance information to conduct competitor analysis, examine quality improvement and benchmark plan performance. The owner of an escaped animal may be held liable for damages his/her animal creates. b. Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? A) They actively recruit vulnerable populations. (Network providers are usually reimbursed on a fee-for-service basis. C. Hurricanes frequently cause flooding along the coast, but not inland. Which of the following statements iscorrectregarding hurricanes? 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). Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system. d. Network model C. Practice a fire drill every month throughout the fire season. which of the following statements describes managed care? B. C) The nurse is considered the gatekeeper in the managed care system. Quality Improvement System for Managed Care (QISMC). It has. 20. You have three metal samples- A,B\mathrm{A}, \mathrm{B}A,B, and C\mathrm{C}C - that are tantalum (Ta), barium (Ba), and tungsten (W), but you don't know which is which. Healthcare in the United States - Wikipedia 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. A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. Managed care plans implement _______ as a method of controlling health care costs and quality of care. Managed care plans are a type of health insurance. but the retirement benefit is not known in advance. Plans are required to meet minimum performance levels and to show demonstrable and measurable improvement in specified broad clinical areas (e.g., preventive services, acute ambulatory care, chronic care, and hospital care) based on performance improvement projects that each plan identifies. c. which of the following statements describes managed care? . e. Staff model Without advertising income, we can't keep making this site awesome for you. E) The managed care system may required approval for specialty care. D. Heat stress in animals only occurs under conditions of extreme heat. 10. A) There is minimal purchasing-oriented paperwork. What is Managed Care? | Cigna [Solved] Which of the Following Statements Describes Managed Care 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 1) All of the following statements about tax implications of qualified pension plans are correct EXCEPT, A) Investment earnings on plan assets accumulate on a tax. Which of the following statements accurately describe an aspect of managed care? These include provider networks, provider oversight, prescription drug tiers, and more. It is a system that is based on patient and provider autonomy. 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). results. which of the following statements describes managed care? A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? The Incident Command System provides a consistent method to respond to all types of emergencies. Each line when completed, should have three words similar in meaning. 1. A. B. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. 26. Which of the following statements about risk management is true? State disaster declarations can only be made when more than one community is affected. B. A) The contribution rate is fixed. Which of the following organizations provides independent, impartial assistance in more than 60 countries to people whose survival is threatened by violence, neglect, or catastrophe, primarily due to armed conflict, epidemics, malnutrition, exclusion from health care, or natural disasters? It aims toward lower premiums and preventive care benefits. A. Disasters can be a threat to animal well-being. The early retirement age is the earliest age at which an employee can. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. Possible Outcomes for Expected Value Damages, 2. 16. 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.