Answered: Discuss the salient forces leading to…

Discuss the salient forces leading to the rise and fall of various types of managed health care plans. Speculate on how current and future forces might lead to further changes

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter3: Managed Health Care

Section: Chapter Questions

Problem 11R

See similar textbooks

Related questions

Q: Briefly, describe enzyme multiplicity and broad substrate selectivity for cytochrome P450.

A: Enzyme cytochrome P450 is an important enzyme in many metabolism processes. It is primarily present…

Q: List the factors that delay the translation of research to nursing practice.

A: Translation of nursing research to nursing practice is challenging in significance of clinical or…

Q: Please help me solve these!! 1. The provider orders Drug X 200 mL to infuse over 2 hour. The…

A: According to drug dose formula, Flow rate or Drip rate= {Volume (ml)/time(min)}×drop factor In…

Q: the following: Maternal alcohol consumption during pregnancy Maternal narcotic abuse during…

A: Introduction:- ALCOHOL CONSUMPTION AND NARCOTIC ABUSE DURING PREGNANCY, Tobacco, alcohol and drugs…

Q: a. What are the principles of surgical asepsis and what are the activities in preoperative phase.

A: Surgical Asepsis is an essential practice that needs to be followed stringently by all healthcare…

Q: se answer the use

A: According to the question Use of internet associated with health care services have positive as well…

Q: 10. Platelet-platelet binding, or aggregation, requires the interaction of fibrinogen with a…

A: When blood is start to bleed it is stopped by clotting. Blood clotting is also known as Coagulation.…

Q: Discuss the factors that determine blood pressure.

A: When the heart pumps blood through arteries and ventricals during that time the blood a keeps…

Q: 24. A nurse is caring for a client who exhibits manifestations of major depressive disorder. The…

A: Depression is a mood illness that results in a constant sensation of sadness and loss of interest.…

Q: What is the pathology and pathophysiology of varicose veins?

A: Wall of arteries are thicker than veins. Blood that flows from heart to lower parts of body doesn't…

Q: 1. What progressive muscle relaxation performed in Two scenarios shown in the picture?

A: Introduction:- Muscles is soft tissues. Many stretching fibers make up muscles.humna body's have…

Q: I needed help me

A: Half life of a drug is an estimte of the time it takes for the amount of the drugs active substance…

Q: Dr. Webber joined the Gelder Medical Group, which was a medical partnership. Part of the agreement…

A: The medical office is similar to the clinical office but in the clinical office, only one physician…

Q: R4

A: We know that The disease conditions are so harmful that those can be fatal and arises…

Q: F8

A: We know that Mortem is the Latin word that means death, and a postmortem is a word that is used in…

Q: Compare and contrast rationalism and empiricism.

A: Rationalism in nursing emphasizes the importance of reasoning as appropriate method to increase the…

Q: How can nurses prevent medication errors?asap thanks

A: The nurse should be careful in case of medication administration. The steps need to be taken before…

Q: can you help please what is the diagnosis of Chronic granulomatous disease (CGD) and explain the…

A: As we know Bridges-Good syndrome is another or other name for chronic granulomatous disease (CGD).…

Q: She has read that it is called a "legend drug." She wonders what that phrase means and why the…

A: Legend drugs is basically a prescription drug which are pharmaceutical in nature and legal. It…

Q: why does aplastic anemia causes prolonged bleeding.

A: Nursing counselling and advise involves certain intervention which helps process focusing on the…

Q: 23. Read the medication label below and answer the following questions NDC 36000-175-01 Nafcillin…

A: Nurses needs to follow 5 Rights of the medication before administering the medication. They are…

Q: that impact patient care?

A: Fiscal Management is plays important role in patient healthcare.Finanical management means…

Q: Conduct online research for information related to caring for special needs children. Devise a list…

A: Children with special need may have developmental delay, psychiatric condition, medical condition,…

Q: What does it means to you to achieve the nursing competencies, patient-centered care, and nursing…

A: Competency means the skill required in performing a task. Nursing Competency is the ability to…

Q: What does it means to achieve the nursing competencies of professional identity and spirit of…

A: The Nursing profession is a health care profession. It promotes, restore and maintain the health of…

Q: of the following types of learning would Patient SM likely struggle with? a. Learning to associate…

A: As we know Urbach-Wiethe illness is a rare genetic ailment that affects SM (SM-046).in it This…

Q: post-operative exercises are available to teach patients following surgery?

A: It depends on type of surgery and patient situation, excercise is important to promote health and to…

Q: A nurse is preparing to administer oxytocin 2 milliunits /min by continously IV infusion to a…

A: Oxytocin: The posterior pituitary releases oxytocin, a peptide hormone and neuropeptide that is…

Q: Which of the following diseases require the use of Airborne Precautions? Herpes zoster and…

A: Airborne diseases are caused by pathogenic microbes which are small enough to be discharged from…

Q: 4

A: We know that The burn's severity depends on the thickness, depth, and degree of the skin. Based on…

Q: explain why you would rotate injection sites -bruising -infection -bleeding -pain

A: Site rotation refers to the movement of the shooting location. Rotating sites refers to moving your…

Q: J7

A: We know COVID-19 is caused by corona virus which emerges as epidemic in 2019. It is a disease…

Q: a. What types of Medicare plans are Nana and Granny on? b. What is the main difference between a…

A: Medicare is the body that pays of the insurance for the medical expenses of its people. Under this…

Q: have a family member to visit him. He was official business reasons, but unfortunat an accident,…

A: As we know Nursing is a rewarding career, but hospitals are experiencing problems filling nursing…

Q: What are the implications of advanced nurse practice

A: Advanced practice nurses are the nurses who have completed advanced educational and clinical…

Q: efly you can answer (

A: It is very important to educate the client and family members to the disease condition in help to…

Q: lood pressure is blood pressure during heart dilation.

A: Blood pressure: This is a type of force which is exerted On the walls of the arteries and occurs…

Q: . What are the implications of STDs in adolescent B. What are the nursing implications for providing…

A: Sexually transmitted disease and sexually transmitted infection both are different. Sexually…

Q: sing Assessment 4. Nurse Patricia is caring for a patient with Pulmonary Tuberculosis in the…

A: The Environmental Theory (proposed by Florence Nightingale) emphasizes on the act of making use of…

Q: Describe how you would teach the patient to mix the morning insulin dose for a single administration

A: Insulin helps to regulate the blood sugar levels in the body. Insulin is a medication which helps…

Q: 3. Prepare a teaching checklist for parents that provides information on preventive measures for the…

A: 3. The nurse must prepare and provide appropriate health teaching to parents to avoid accidents in…

Q: A client had 4 ounces if Jell-0. How many milliliters will the nurse record? (Use the colon or…

A: The chosen metric unit for measuring liquids is the milliliter. The abbreviation mL has been used…

Q: Mohammed is a 46-year-old man with a diagnosis of high blood pressure. He works night shifts in a…

A: Mohamad is 46yr old man who was diagnosed with hypertension. Hypertension is a condition in which…

Q: please show the solution step by step

A: Required dose of lidocaine, local anesthetic is asked in the question.

Q: pulse oximeter is 85% on room air with accessory muscle use to breathe. The nurse placed the client…

A: The given case is an exasperation of asthma and it is clinically referred to as status asthamaticus…

Q: Beth R. (58 kg, 63 years old) is suffering from symptomatic ventricular arrhythmia. She will be…

A: Introduction:- A member of the class Ib antiarrhythmic drugs mexiletine primary mechanisms of action…

Q: I need option asap

A: We know that Female body undergoes various hormonal changes during pregnancy. Hormonal fluctuations…

Q: H8

A: We know that Cancer cells discharge a hormone an speed up the percentage at which bones discharge…

Q: osos.

A: Creatinine is a waste product that is produced by the body daily during the movements of muscles and…

Q: Which statement is correct about the body's compensation mechanism for metabolic acidosis? A The…

A: Metabolic Acidosis: A disturbance in the body's acid-base balance characterises metabolic acidosis,…

Question

Discuss the salient forces leading to the rise and fall of various types of
managed health care plans. Speculate on how current and future forces might lead to further changes

Expert Solution

This question has been solved!

Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.

SEE SOLUTION Check out a sample Q&A here

Step 1

Step 2

Step 3

Step 4

Step by step

Solved in 4 steps

SEE SOLUTION Check out a sample Q&A here

Similar questions

Explain how technical and allocative inefficiency in health care firms affect the welfare of the patients.
Discuss the most common risks for a healthcare organization of your choice. How would you decide which risks are most/least important?
Summarize three broad health-care plan design alternatives.
Using a health centre of your choice as a case study, discuss the extent to which technology has revolutionized healthcare delivery in the 21st Century
Discuss the role of hospitals in the current scenario
Using your own words, how would you define the term "value" in healthcare? When you thought of this definition, what factors did you take into account? The term value is almost always analyzed from an economic perspective. Please describe some conflicts embedded within the healthcare delivery system that drive up costs and reduce value. Please identify some reasons why attempts at cost control have not succeeded
Those who get to define the problem get to determine the solution. Explain what this means through a discussion of patient needs, the healthcare workforce, and the extent to which the U.S. has or does not have a physician shortage.
Analyze at least one federal, one state, and one third-party payer regulation that could affect your healthcare organization, providing examples of both positive and negative impacts on various stakeholders for each regulation you identify
List and discuss the risks to a healthcare organization in failing to allocate sufficient support and resources to a newly implemented healthcare information system or EMR.