HMO REGULATION QUIZ what kinds of patients in HMOs are most vulnerable to poor quality of care ?
Health maintenance organizations evolved as a means of offering cost- effective health care delivery. In these managed care system, charges are negotiated in advance of the delivery of care using predetermined reimbursements rates or capitation fees for medical care, hospitalization and other health care services. Patients with age-related physiologic changes, chronic disease conditions and with limited social resources are more vulnerable to poor quality of care.
HMO REGULATION QUIZ what kinds of patients in HMOs are most vulnerable to poor quality of...
What are the distinguishing characteristics of a health maintenance organization (HMO)? How do HMOs differ from other insurers operating in the health insurance industry? This is for my Healthcare Economics class
HMO Revises Process to Obtain Valid Authorizations Covered Entity: Health Plans / HMOs Issue: Impermissible Uses and Disclosures; Authorizations A complaint alleged that an HMO impermissibly disclosed a member’s PHI, when it sent her entire medical record to a disability insurance company without her authorization. An OCR investigation indicated that the form the HMO relied on to make the disclosure was not a valid authorization under the Privacy Rule. Among other corrective actions to resolve the specific issues in the...
HMO Revises Process to Obtain Valid Authorizations Covered Entity: Health Plans / HMOs Issue: Impermissible Uses and Disclosures; Authorizations A complaint alleged that an HMO impermissibly disclosed a member’s PHI, when it sent her entire medical record to a disability insurance company without her authorization. An OCR investigation indicated that the form the HMO relied on to make the disclosure was not a valid authorization under the Privacy Rule. Among other corrective actions to resolve the specific issues in the...
What type of life history strategy is seen in most turtles? When are they most vulnerable in their life span? Is there parental care?
Name at least 6 vulnerable groups. Explain what makes aeach of these groups vulnerable. Define what does underserved population means. How could vulnerable and underserved groups end up having poor health outcomes. What are the barriers these groups face? Explained how geographic areas can cause barriers in health care. What is Medical evacuation (aka Medevac)? Provide a scenerio of a Medvac in a rural area. Be detailed. (about 20 sentences)
Jiale Flag this Question Question 361 pts As discussed in class, what is the intent of the PPACA (3 things)?! Group of answer choices Lower costs Provide coverage to uninsured None of the listed Improve quality of care Flag this Question Question 371 pts Kaiser HMO model is called "staff model HMO" where Kaiser has an exclusive contract with the Permanente medical group Group of answer choices True False Flag this Question Question 381 pts Which of the following health...
What do you think will ultimately replace the Affordable Care Act? How will that impact HMOs, patient privacy, costs, quality, access, etc.?
what are the causes of poor health service quality?
Understanding what resources are available for vulnerable populations is an important aspect of holistic patient care. Many patients lack access to affordable healthcare, have a low income, poor health literacy and experience difficulty navigating the system. As a trusted member of their healthcare team, it often falls to you, the nurse, to make recommendations and referrals to services within the patient’s local area that could improve your patient’s long-term health modifications. What public resources exist within your community that are...
Understanding what resources are available for vulnerable populations is an important aspect of holistic patient care. Many patients lack access to affordable healthcare, have a low income, poor health literacy and experience difficulty navigating the system. As a trusted member of their healthcare team, it often falls to you, the nurse, to make recommendations and referrals to services within the patient’s local area that could improve your patient’s long-term health modifications. What public resources exist within your community that are...