Fee-for service or managed care:which has higher copays and deductibles?
Explanation:
I’ll describe this in simplest terms. Things can be considerably more complex that this, and many reimbursement model variants exist in between these two “extremes”Fee for Service : the provider (e.g. doctor or hospital) bills the insurer. The insurer adjudicates the claim, and reimburses the provider at rates that have been agreed upon by the two, less any portions for which the patient is held responsible per the terms if their policy.(Large provider organizations may negotiate their own reimbursement schedules with insurers. Smaller ones mostly just make “take it or leave it” decisions on whether or not they want to accept the insurer’s members as patients, based on whether the insurer’s reimbursement rates appear acceptable to them in light of how badly they need access to the insurer’s supply of patients.)In this model, all risk is carried by the insurer and its members. The insurer’s risk is that its members will require care for which it must pay out as just described. The members’ risk consists of how much they might have to pay in the form of deductibles, co-payments, and coinsurance if they require care. The providers mostly avoid risk because even if they end up treating a particularly expensive mix of patients, their revenue will go up accordingly.Capitation : the provider is compensated primarily by a flat amount - the ‘capitation amount’ - that the insurer pays to them, per member/per month. Typically there will also be co-pays that are the responsibility of the member/patient. Then it is up to the provider to do its best to manage how it treats its cap patient population so that its costs of caring for them do not exceed the corresponding cap income.In this model, considerable risk has been shifted to the provider. (Not all of it. There typically are provisions in the insurer-provider agreement that shift risk back to the insurer in circumstances of high patient utilization beyond the provider’s control. As previously noted, there can be many variants. And of course the member/patients still bear some risk with the copays etc.). This model creates incentive for the provider to think and act like they are “part provider, part insurer”. It is an “in between” model that stops short of the providers and insurer becoming one-and-the-same business (like Kaiser is, for example).Sorry for the Subheadings letters#Mark me as Brainliest Answerwhat is the definition of health
Answer: it's not dying... ring able to breathe not hurting and so on. so basically your mental and physical well being
Explanation:
Arrange the parts of the respiratory tract in a sequence that accurately represents the flow of air after a person inhales.
pharynx
trachea
bronchi
nasal cavity
larynx
↓
↓
↓
↓
Reset Next
Answer:
Pharynax, Nasal Cavity, Bronchi, Larynx, Trachea.
Explanation:
Trust me i did this test already.
How do you use a toilet? Explain with details if possible.
Explanation:
Enter the bathroom.
Close the bathroom door.
Pull down clothing.
Sit on the toilet.
Use the toilet.
Get toilet tissue/or water
Wipe with tissue./ or water
Throw tissue in the toilet.
and your done
Answer:
do a dance then sit on toilet and sing
What vitamin is neither fat nor water soluble
Which of the following would NOT be considered unfair discrimination?
Answer:
Which of the following would NOT be considered unfair discrimination?
Explanation:
Ummm... You didn't specify of what or give a list so I am unsure of what to do please get back to me.
Discriminating in benefits and coverage based on the insured’s habits and lifestyle is not an example of unfair discrimination.
A discrimination is said to be unfair when it is;
UnwarrantedUnjustifiedBased on biasHence, if these are the characteristics of unfair discrimination, then it follows that discriminating in benefits and coverage based on the insured’s habits and lifestyle is not an example of unfair discrimination.
Missing parts;
Which of the following will NOT be considered unfair discrimination by insurers?
a)Assigning different risk classifications to applicants based on gender identity
b)Discriminating in benefits and coverages based on the insured’s habits and lifestyle
c)Charging applicants with similar health histories different premiums based on theirethnicity
d)Cancelling individual coverage based on the insured’s marital status
Learn more about unfair discrimination: https://brainly.com/question/11116052
Diabetes symptoms
Why does my urine smell?
Select the correct answer.
How often do you need a tetanus immunization in order to maintain immunity?
ОА.
One time
OB.
Childhood immunizations only (three doses)
C.
Every two years
D.
Every 7-10 years
Reset
Next
Answer: D- Every 7-10 years
Explanation:
According to the CDC you should get a teatanus shot every 7 to 10 years in order to maintain immunity.
Stella was born deaf, but her parents are able to hear. Her parents also do not use sign language. When she was in middle school, she learned American Sign Language (ASL). To whom would she be MOST similar?
1.a 3-year old who learned ASL as a baby
2.an adult immigrant who learned a new language
3.an adult who learned ASL as a baby
4.a 3-year old who recently lost his hearing and is learning ASL
Answer:
2. i think
Explanation:
The observation declares that the correct answer is an adult immigrant who learned a new language.
ASl is the sign language used by Stella when she was in middle school to express or to speak. She learned ASL when she was in middle school, she learned as her parents also do not use sign language.
Wat is ASl language?American Sign Language is a herbal language that serves because of the fundamental signal language of Deaf groups withinside the United States and maximum of Anglophone Canada. ASL is a whole and prepared visible language this is expressed through facial features in addition to actions and motions with the hands.
Thus it is clear that when she was in middle school, she learned an adult immigrant who learned a new language.
To learn more about ASl refer to the link ;
https://brainly.com/question/1350132
What is the difference between a laparoscopic and open appendectomy?
After I slept my tinnitus went away what happened?
Answer: Sleeping does not cure or even temporarily cure tinnitus. Tinnitus is usually caused by an underlying condition, such as age-related hearing loss, an ear injury or a problem with the circulatory system. For many people, tinnitus improves with treatment of the underlying cause or with other treatments that reduce or mask the noise, making tinnitus less noticeable.
In the beginning of the addiction cycle
The first step to addiction is trying the substance. It can be as fast as taking the first drink or smoking a cigarette. Or, people may have used drugs in the past without developing a dependency, but are now moving on to a more addictive substance.
The general factor, or g, can be found in the correlations among mental tests.
Please select the best answer from the choices provided
Т
F
Answer:
True
Explanation:
Answer:
T
Explanation:
How long does sugar stay in your body Ik for people with diabetes its bout 2 hour. but how long for people without diabetes??
Answer:
they will take some many years lk 2-10years and continuos
During ovulation, the ovum, or eggs, rest in which of these locations?
A: Infundibulum
B: Oviducts
C: Uterus
D: Zygote
Which micronutrients are important components of bones and teeth
Answer:
Staying Healthy
The health and strength of our bones rely on a balanced diet and a steady stream of nutrients — most importantly, calcium and Vitamin D. Calcium is a mineral that people need to build and maintain strong bones and teeth.
Explanation:
HOPE THIS HELPS!!
MERRY CHRISTMAS AND HAPPY NEW 2022 YEAR!!! GOD BLESS YOU!!
Answer:
The health and strength of our bones rely on a balanced diet and a steady stream of nutrients — most importantly, calcium and Vitamin D. Calcium is a mineral that people need to build and maintain strong bones and teeth.
Explanation: I guess i was a bit late ^^
why Preparing food menu is important?
so people know what too eat like you want to go to wendys and just see no menu
List rewards appropriate for accomplishing your short-term goals: for eating a proper diet and losing weight
List the reward for accomplishing your long-term goal:
Are most domestic abusers
Narcissists or sociopaths
Answer:Narcissists they only think about themselves
Explanation:
PLEASE HELPP TIMED!!!
Carbon dioxide is a toxic gas if it builds up in the body. Which best describes how a mask treats carbon dioxide to
prevent this build-up?
O The partial-rebreather and non-rebreather masks allow carbon dioxide to escape from the sides of the mask, and
the simple face mask combines the oxygen gas and exhaled air.
The partial rebreather mask allows carbon dioxide to escape from the sides of the mask, and the simple face
mask and non-rebreather masks combine the oxygen gas and exhaled air.
The simple face mask allows carbon dioxide to escape from the sides of the mask, and the partial-rebreather and
non-rebreather masks combine the oxygen gas and exhaled air.
O The simple face mask and non-rebreather mask allow carbon dioxide to escape from the sides of the mask, and
the partial-rebreather mask combines the oxygen gas and exhaled air.
Answer:
The partial-rebreather and non-rebreather masks allow carbon dioxide to escape from the sides of the mask, and the simple face mask combines the oxygen gas and exhaled air.
Explanation:
Carbon dioxide is a toxic gas if it builds up in the body.
The partial-rebreather and non-rebreather masks allow carbon dioxide to escape from the sides of the mask, and the simple face mask combines the oxygen gas and exhaled air which is option A.
What is carbon dioxide?Carbon dioxide is an acidic, colorless gas. Carbon dioxide molecules are made up of a carbon atom that has a covalently double bond with two oxygen atoms.
Carbon dioxide is an asphyxiant that primarily affects the brain. These same levels impair attention and focus, as well as cause discomfort from stuffy air. When CO2 levels reach dangerous levels (>50,000 ppm), you may lose consciousness. If this continues for an extended period of time, death is a possibility.
What are non-rebreather and breather masks?
A non-rebreather mask is a type of medical gadget that helps you get oxygen in an emergency.
Partial rebreather masks, like non-rebreather masks, provide oxygen treatment to persons who require high-concentration oxygen but do not require assistance breathing.
Thus, we can conclude that option A is correct.
You can learn more about carbon dioxide here:
https://brainly.com/question/14445045
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Define diabetic insipidus
Answer:
A disease in which the secretion of or response to the pituitary hormone vasopressin is impaired, resulting in the production of very large quantities of dilute urine, often with dehydration and insatiable thirst
Answer:
Diabetes insipidus (die-uh-BEE-teze in-SIP-uh-dus) is an uncommon disorder that causes an imbalance of fluids in the body. This imbalance leads you to produce large amounts of urine. It also makes you very thirsty even if you have something to drink.
Explanation:
hope this will help
Russell just ended a three -year relationship he believed was leading to marriage . Which of the following should he do to cope with this failed relationship ?
Answer:
love you ❤️❤️❤️❤️❤️❤️❤️
Explain healthcare management theory.
Explanation:
Healthcare management theory evolves out of more general theories of management that govern the effective use of human and material resources and applies them in a healthcare setting.Reaching this goal requires an understanding of the concepts of management and leadership.
the level for coding a patient's history include what?
Answer:
Evaluation and management coding is a type of medical coding used by physicians and certain other healthcare providers to report their services as part of medical billing. Evaluation and management (E/M) codes are found in the CPT® code set in the range 99202-99499 and cover a variety of services. Many E/M codes, such as those for inpatient care and home visits, include a combination of patient history, examination, and medical decision making (MDM).
These factors — history, exam, and MDM (HEM) — are known as the three key components of E/M level selection. Determining the correct type of history, exam, and MDM can feel intimidating even for seasoned coders because of the many requirements involved. A solid understanding of these three key components will help ensure more accurate coding and reimbursement for E/M codes.
1. determine the type of history . A patient history includes getting the chief complaint and the history of the present illness. The history also may include a review of body systems using questions to identify signs and symptoms, and a review of the patient’s past, family, and social history, depending on what is medically appropriate for the visit. The amount of history taken will determine the type: problem focused, expanded problem focused, detailed, or comprehensive.
2. determine the type of the physical exam. The provider uses clinical judgment to determine the extent of physical examination needed for each of the patient’s body areas and organ systems. The provider will document one of these four types of exam: problem focused, expanded problem focused, detailed, or comprehensive.
3. determine the type of medical decision making (MDM). MDM is how the provider rates the degree of difficulty in establishing a patient’s diagnosis and treatment plan. E/M codes include four types of MDM: straightforward, low complexity, moderate complexity, and high complexity.
4.determine the final code. Once the provider has determined the types of history, exam, and MDM, final E/M code selection can occur based on those three key components. For this example, assume the physician performed a comprehensive history, a comprehensive exam, and medical decision making of high complexity for this new patient. The appropriate code in this case is 99328 Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity.
Explanation:
4. What is the most important thing to remember when lifting weights?
lift with a partner
write down how much you are using
proper form and technique
put the weights back where you got them
Answer:
proper form and technique
Explanation:
because if you don't have the right form, it could damage your muscles. for example triceps and biceps.
Answer:
proper form and technique/lifting with a partner
Explanation:
form is vital, but lifting with a partner is smart.
How can inequality make us ill?
Answer:
yes
Explanation:
Can inequality make us ill? Poor health and poverty do go hand-in-hand. But high levels of inequality, the epidemiological research shows, negatively affect the health of even the affluent, mainly because, researchers contend, inequality reduces social cohesion, a dynamic that leads to more stress, fear, and insecurity for everyone.
What is the first step in problem-solving Approaches
Answer: Step 1: Define the Problem. What is the problem? ...
Step 2: Clarify the Problem. ...
Step 3: Define the Goals. ...
Step 4: Identify Root Cause of the Problem. ...
Step 5: Develop Action Plan. ...
Step 6: Execute Action Plan. ...
Step 7: Evaluate the Results. ...
Step 8: Continuously Improve.
Explanation:
Molly is a married Morton, who Occasionally comes home drunk and hits her. The next morning he is very apologetic. He swears he will never hit her again; he is just under so much strain at work. Molly is determined to help more in through his strange at work. This is an example of
..............traumatic bonding.
Prozac was one of the early
Pls look at the picture for the question.
Answer:
60-80 beats a minute
Explanation:
the average heart rate it 100