medical services that are not included in a managed care contract's capitation rate but that may be contracted for separately are referred to as

Answers

Answer 1

Medical services that are not included in a managed care contract's capitation rate but may be contracted for separately are referred to as carve-out services.

Carve-out services are specific healthcare services that are not covered under the capitation arrangement between a managed care organization (MCO) and healthcare providers. These services are typically managed and reimbursed through separate contracts or arrangements.
The purpose of carving out certain services is to allow for more specialized or focused management of those services. Examples of carve-out services can include mental health and substance abuse treatment, pharmacy services, dental care, vision care, or certain specialized medical procedures. These services may require a different payment structure or expertise in managing and coordinating care.

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Related Questions

Is lean good (educational purposes only)

Answers

Always, alwayssssssssss

When should the nurse advise a client being prescribed fluoxetine hydrochloride for depression to take the medication

Answers

The nurse should advise the client to take the prescribed fluoxetine hydrochloride for depression at bedtime.

Fluoxetine hydrochloride is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class that is marketed under the brand names Prozac and Sarafem, among others. Bulimia nervosa, panic disorder, major depressive disorder, obsessive-compulsive disorder (OCD), and premenstrual dysphoric disorder are among the conditions it is used to treat.

fluoxetine hydrochloride is used to treat depression, obsessive-compulsive disorder (OCD), bulimia nervosa, premenstrual dysphoric disorder (PMDD), and panic disorder

Fluoxetine hydrochloride works by increasing the amount of serotonin (a natural substance) in your brain. Serotonin aids in preserving mental stability. Serotonin levels are raised to help with the symptoms of panic attacks, bulimia nervosa, obsessive-compulsive disorder, and sadness.

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in the ear, the basilar membrane and hair cells are found in the?

Answers

Answer:

cochlea

Explanation:

Answer:

Cochlea

Explanation:

Cross-section of the cochlea. The inner hair cells are located at the termination of the "inner hair cell nerves" and the outer hair cells are located at the termination of the "outer hair cell nerve"

The risk of getting lung cancer at some point in time in one's life for men who have never smoked is about 13 in 1000. The risk for men who smoke is just over 13 times the risk for non-smokers. What is the approximate lifetime risk of getting lung cancer for men who smoke

Answers

0.169  is the approximate lifetime risk of getting lung cancer for men who smoke.

In the United States, about 10 to 20% of lung cancer cases, or 20,000 to 40,000 lung cancers each year, occur in people who have never smoked or have smoked fewer than 100 cigarettes in their lifetime.

In this case, if we talk about the risk of smokers in terms of the risk of non-smokers, so the baseline risk is the risk for the non-smokers. So the baseline risk for lung cancer in men over an entire lifetime is the risk of lung cancer for men who have never smoked, over their lifetime, which is =0.013

The approximate lifetime risk of getting ling cancer, for male smokers, can be calculated as being 13 times the base risk= 0.169

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Imagine that you are working with a team of bioarchaeologists that has just excavated a medieval cemetery site in Italy. The cemetery has over 200 graves, with all sexes and ages represented in the skeletal sample. You are interested in knowing whether there were gender differences in health among members of the medieval community. How would you answer this question using the skeletal remains

Answers

Answer:

By analyzing the pelvis bone (sex determination) and the length of the diaphyseal bone and nonsynovial joints (age determination of non-adult skeletons and adult skeletons, respectively)

Explanation:

Bioarchaeologists are professionals that study human skeletons from archaeological sites. Bioarchaeologists can estimate the age and sex of human skeletons and thus determine the health and dynamics of past human populations. In regard to sex determination, the pelvis is a bone that can be used to estimate the sex of an individual with an accuracy higher than 95%. In regard to the age, characteristics associated with bone growth such as, for example, the length of the diaphyseal bone, can be good indicators to estimate the age of non-adult skeletons, while nonsynovial joints (i.e. joints without a synovial membrane) which are commonly called synarthroses or solid joints, can be used to estimate the age of adult skeletons.

A ________ is not typically used in the prehospital setting for oxygen administration.

Answers

A  partial re-breather mask is not typically used int he prehospital setting for oxygen administration. It is initiated for variety of reasons.

Increased metabolic demand , maintenance of oxygenation while proving anesthesia. This the most common method for home use and provide flow rate of 2 to 6 liter per minute. Allowing the delivery of oxygen while maintaining the patient's ability to utilize their mouth to talk, eat, etc.

The main purpose is  treatment for patient with acute respiratory failure and those with chronic lung disease and hypoglycemia. The maintain normal hemoglobin saturation so as facilitate normal oxygen delivery to peripheral tissues.

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In a means-end chain for milk, the calcium content of milk leads to healthier bones, which leads to a display of wisdom and a comfortable life free of osteoporosis. The display of wisdom and a comfortable life component of the means-end chain is the: Group of answer choices

Answers

Answer: Leverage point

Explanation:

The display of wisdom and a comfortable life component of the means-end chain is referred to as the leverage point.

The leverage point simply means a message that is passed by the company to the customers and prospective customers or where the company shows the emotional benefits and the advantages that one gets when the product is bought from them than from other competitors.

A pharmacy technician would tell a patient about a contraindication if the patient is taking

nitroglycerin for angina.
warfarin along with aspirin.
a laxative to manage constipation.
an analgesic and anesthetic for acute pain.

Answers

Answer:

pharmacy

analgesic and aneSTHETIC

Alopecia areata has a genetic and
basis.

Answers

Answer:

Sorry you got the wrong question

Answer:

autoimmune

Explanation:

took assignment on edge

The tendency of a person to catastrophize the extent of loss lowers his blood pressure.

Answers

Answer: What is the question

Explanation:

Private health insurance is also called
A. individual insurance or non-group insurance.
B. VA Administration Insurance.
C. Schip Third-Party Payor Insurance.
D. Medicode insurance.

Answers

Answer:

Private health insurance is, instead, offered by a private entity instead (most often a for-profit company). You may also hear private health insurance plans called “off-exchange” plans–this means it's a major medical plan

Shirya is at the dentist getting a cavity filled. The doctor injects her with a local anesthetic. Which drug did Shirya most likely receive?

lidocaine or procaine
methohexital or lorazepam
lorazepam or procaine
fentanyl or methohexital

Answers

Answer:
Lidocaine
Hope this helps u

How can health care professionals prepare for working with various age groups?

Answers

Answer:

They can work with kids and adults and teenager's so that they can see how they have to work in each age group. They have to look at the emotions feelings actions and a bunch of different things so that they can see what working with the different age groups do so that you can become closer to what they are looking for and their needs and create a stronger bond with all of them individually.  But they can start of with maybe baby sitting to help with the younger age and or work at a assisted living facilitys so that you can see what working with the elderly agr group is also for like teenagers you could go work as a school nurse to help with the seeing what it is like.

Hope this helps! :)

When health care professionals take care of the kids and elderly, they should take care of these:

Strive to maintain their dignity as best as you can. Be mindful of their physical and mental health. Particularly in regards to mental health, you need to be mindful and observant of the health status of the individuals you are taking care of.

What are age-specific considerations?

The definition of Age-Specific Considerations in Patient Care is to provide healthcare professionals with notification, about other age groups, how to identify needs related to these age groups, and how to vary approaches to patient care with age-specific needs in mind.

Thus, it is important to prepare for work according to various age groups.

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which of the following is an anesthetic that would be commonly stockpiled and used during a disaster

Answers

Explanation:

A cellular phone network uses towers to

transmit calls. If the equation of the circular area

transmits by the tower is represented by (x-5)2 +

ly-1)2 = 22. Can you identify if you are inside or

outside of the circular area, if your coordinate

location is (6,0)? How about if your location is

(8,2)?

How to keep our surroundings clean?? Explain clearly.​

Answers

Answer:

don't litter

Explanation:

keep roads,,Your house and school clean , try not to litter anywhere , also keeping cleanliness is a good way to become better person

Answer:

A clean environment is essential for the existence of all living beings. People should prompt some laws to reduce environmental pollution.

...

Answer:

Save water.

Save electricity.

Using reusable bags.

Avoid taking cars as much as possible.

Growing more trees and plants.

Reducing pollution.

Saving natural resources.

what is the WHO formula for ORT​

Answers

Answer:

ORS consists of 4 constituents: 1. sodium chloride, 3.5 grams; 2. trisodium citrate, dihydrate, 2.9 grams; 3. potassium chloride, 1.5 grams; 4.

Explanation:

I think .... im not sure though

Order: Pfizerpen (penicillin potassium) 200,000 units IM q6h

a) Which concentration is best to administer the dose?

Answers

Answer:

Explanation:

I'm only like 60% sure so you might want to double check this.

Think:

Need 400 mg

Have 100 mg per mL ( Need four times that amount )

Calculate:

Dosage on hand       Dosage desired

                             =

Amount on hand      X Amount desired

Cross multiply  100 mg  400 mg

                          1 mL X  =mL

                          100 X = 400

                          100 X  = 400

Simplify             ----------------------

                          100         100

                          X 4 mL

Withdraw 4 mL of reconstituted Zithromax using 5 mL syringe

Further dilute and give IV

Since single-dose vial, discard any remaining drug

Hopefully this helps!

1-Which of the following is a feature of Irreversible Cell Injury:
a) Glycogen stores are depleted
b) Cytoplasmic sodium increases
c) Nuclei undergo karyorrhexis
d) Intracellular pH diminishes
e) Blebs form on cell membranes

Answers

Answer:

Cytoplasmic sodium increase.

Explanation:

Pls mark as brainliest

Answer:

cevap bursa cytoplasmic sodium increases

How can olive oil help in preventing and managing diabetes when included in the daily diet? suppose a mechanism.​

Answers

Answer:

The rise in blood sugar levels was much smaller after the meal with extra virgin olive oil than after the meal with corn oil. The findings were consistent with previous studies, which have linked extra virgin olive oil to higher levels of insulin, making it beneficial to people with type 2 diabetes.

Explanation:

Answer:

reduces glucose levels LDL (low density lipoprotien) and triglycerdes

you admitted a patient with hypotensive crisis with the following data and doctors
patient juan dela cruz 45 years old NGT for gavage feeding every 4 hours
With indwelling foley catheter for urine output monitoring
6:30 a.m. clients vs bp =70/40 rr = 15 pr = 59 o2sat = 98%
doctor's order fluid regimen
R hand start ivf off d5lrs 1 liter to run 48 hours using macro set with slide drift of levophed to ampules + 96 cc of pnss x 15 ugtts per minute
second line le start ivf pnss 1 l x 10 gttsper minute start blood transfusion of two unit prbc once available properly type and crossmatch
you receive the patient at exactly 7:00 a.m. and started the fluid regimen
8:00 a.m. started gavage feeding of 1 glass osterized feeding with 1/2 glass of plain water to dilute the feeding
8:00 a.m. urine output
8:30 a.m. pack rbc for blood transfusion available
9:00 a.m. started blood transfusion with 250 ml of 1 unit prbc to run for 4 hours no reactions noted
12:00 noon next feeding do but the patient was restless was not available to give the full feeding remaining half glass was discarded
1:00 p.m. urine collected is 200ml
1:30 p.m. finish one prbc, hooked 2nd prbc with same rate
3:00 p.m. no urine output recorded
End of Shift
instruction complete the intake and output form every two hours ​

Answers

Answer:

8

Explanation:

instruction the intake and output

HCPCS level II codes are: a. sometimes replaced by HCPCS level III temporary codes. b. intended for use by all private and public health insurers. c. maintained by the AMA's Editorial Board, which makes decisions about additions, revisions, and deletions. d. updated by CMS when necessary, without participation by the HCPCS National Panel.

Answers

Answer:

HCPCS Level II codes are alphanumeric medical procedure codes, primarily for non-physician services such as ambulance services and prosthetic devices,. They represent items, supplies and non-physician services not covered by CPT-4 codes (Level I).

Explanation:

Side effects associated with keratolytics include _______

Answers

Answer:

Explanation:

I think so it might be I think so it might be

Elaborar un resumen de lo que acostumbramoas a comer en las fiestas familiares y celebraiones comunitarias del país

Answers

Answer:

Navidad Francia - pudín blanco y negro, que es una salchicha que contiene sangre

Canadá francés: postres como rosquillas y pastel de azúcar

Alemania - galletas de jengibre y bombones de licor

Nicaragua: pollo con relleno elaborado con una variedad de frutas y verduras que incluyen tomate, cebolla y papaya.

Rusia: una fiesta de 12 platos diferentes, que representan a los discípulos de Cristo.

Año nuevo

Los alimentos tradicionales de Año Nuevo en todo el mundo incluyen:

Grecia: una empanada dulce especial horneada con una moneda dentro

Japón: hasta 20 platos cocinados y preparados una semana antes. Cada comida representa un deseo de Año Nuevo; por ejemplo, las algas marinas piden felicidad en el próximo año

Escocia: haggis (estómago de oveja relleno de avena y despojos), galletas de jengibre y bollos

España - 12 uvas, destinadas a ser puestas en la boca una a la vez en cada campanada del reloj a la medianoche.

Explanation:

Which best describes how lenalidomine and thalidomide function in the body?

Both drugs treat multiple myeloma by inhibiting inflammation, inhibiting formation of red blood cells, and modulating the immune system to kill cancer cells.
Both drugs treat leukemia by depriving the cancer cells of asparagine and preventing protein formation resulting in cellular death.
Both drugs treat breast cancer by blocking the aromatase enzyme necessary for estradiol production.
Both drugs treat lymphoma by aiding the immune system in identifying and binding to antigen proteins on the surface of cancer cells and triggering the cell to die.

Answers

Answer:

Multiple myeloma is a B-cell malignancy characterized by an excess of monotypic plasma cells in the bone marrow. The molecular mechanisms that are involved in disease progression depend on the interaction between the multiple myeloma cells and the bone microenvironment. Because these mechanisms have been well characterized, it is possible to develop regimens that are more specific to pathways involved in the pathogenesis of multiple myeloma than is typical for conventional chemotherapy in disease management. Thalidomide and immunomodulatory drugs (IMiDs) have now been shown to block several pathways important for disease progression in multiple myeloma. First established as agents with antiangiogenic properties, thalidomide and IMiDs inhibit the production of interleukin (IL)-6, which is a growth factor for the proliferation of myeloma cells. In addition, they activate apoptotic pathways through caspase 8-mediated cell death. At the mitochondrial level, they are responsible for c-jun terminal kinase (JNK)-dependent release of cytochrome-c and Smac into the cytosol of cells, where they regulate the activity of molecules that affect apoptosis. By activating T cells to produce IL-2, thalidomide and IMiDs alter natural killer (NK) cell numbers and function, thus augmenting the activity of NK-dependent cytotoxicity. Data delineating these events have been derived from experiments done in resistant and sensitive multiple myeloma cell lines. Although thalidomide and IMiDs demonstrate similar biologic activities, IMiDs are more potent than thalidomide and achieve responses at lower doses. Lenalidomide, a thalidomide derivative, has also been shown to have a different toxicity profile. Our understanding of the mechanism of action of these agents has provided a platform for exciting clinical trials evaluating combinations of thalidomide and lenalidomide with both conventional chemotherapy and newer targeted agents.

Explanation:

Given a 20% w/v solution of chlorhexidine gluconate, what volume is required to make 400 mL of a 2% w/v solution?

Answers

Answer:

Explanation:

A 2% w/v solution contains 2 g in 100 mL, or 8 g in 400 mL.

Medicare Part D covers
A. occupational therapy visits.
B. hospital inpatient stays.
C. physician surgeries.
D. prescription drugs.

Answers

Answer:

D

Explanation:

Medicare Part D, the prescription drug benefit, is the part of Medicare that covers most outpatient prescription drugs.

what are tubes that carry blood back to the heart ?
a. arteries
b.veins
c.pipes
d.tubes​

Answers

Answer:

arteries and veins

Explanation:

those two are the answers

Answer:

I think it's veins.

Explanation:

Arteries carry the blood away from the heart and the veins carry the blood back to the heart.

why do
do halo-halo stores sprout during summer​

Answers

That is the time and season they sprout
Because of the time and the season

“Diseases of the present age are very different from diseases of the past.

Answers

Answer:

Yes, the diseases of present age are different from those of past. In past, diseases that spread by poor sanitati.

Explanation:

If 3 grams of a drug are contained in 50 mL of solution, write the ratio.

Answers

Answer:

3:50

Explanation:

there are 3 g of a drug in 50 ml of solution, so it is 3/50. In a ratio it looks like this: 3:50

Other Questions
Proteins that must bind to a nuclear receptor protein that aids in its activation are calledA. homodimers.B. corepressors.C. orphan receptors.D. coactivators. An atom of 51K has a mass of 50.975828 amu.mass of1H atom = 1.007825 amumass of a neutron = 1.008665 amuCalculate the binding energy in kilojoule per mole. The three sequential container objects currently provided by the STL are a. set, multiset, map b. vector, deque, list C. map, list, array d. multimap, map, multilist e. None of the above Have to solve it using the Law of Sines and have to round my answer tow decimal places a good business practice is to send a copy of data off-site in the event of a catastrophic event such as a fire at the organization's primary location. how can organizations keep their data secure while transmitting and storing in an offsite location? a good business practice is to send a copy of data off-site in the event of a catastrophic event such as a fire at the organization's primary location. how can organizations keep their data secure while transmitting and storing in an offsite location? they should make physical copies of their data and ship it to the off-site location weekly. they should use a caesar cipher to protect their data. they should only send non-sensitive data off-site. they should encrypt their data using public key encryption. A monopolist faces the following demand curve: Q = 144/P2 where Q is the quantity demanded and P is price. Its average variable cost is AVC = Q1/2 and its fixed cost is 5.a. What are its profit-maximizing price and quantity? What is the resulting profit?b. Suppose the government regulates the price to be no greater than $4 per unit. How much will the monopolist produce? What will its profit be?c. Suppose the government wants to set a ceiling price that induces the monopolist to produce the largest possible output. What price will accomplish this goal? Tamaya purchased an ordinary annuity that earns 3. 5% interest. She will receive 20 payments of $700, once a quarter over 5 years. What is the present value of the annuity?A)$14,490. 00dollarsB) $3,160. 54 dollarsC) $12,792. 30 dollarsD) $15,227. 18Please help me Why does the Constitution give the president the greatest control over foreign policy? pls anwer it's due tomorrow im sorry that i can't reward many points because this is all i have : ( !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!How does the poem's use of repetition contribute to the tone of the poem ?How do I love thee? Let me count the ways.I love thee to the depth and breadth and heightMy soul can reach, when feeling out of sightFor the ends of being and ideal grace.I love thee to the level of every daysMost quiet need, by sun and candle-light.I love thee freely, as men strive for right.I love thee purely, as they turn from praise.I love thee with the passion put to useIn my old griefs, and with my childhoods faith.I love thee with a love I seemed to loseWith my lost saints. I love thee with the breath,Smiles, tears, of all my life; and, if God choose,I shall but love thee better after death. true/fallse. a clincial trial is conducted to compare an expermental medicaiton to placebo Problem: The populations of bears in a forest is 80 and increases by 6 each year. These bears eat fish from a nearby river. The fish population is 10,000 and decreases by half each year according to the ipcc, one molecule of methane (ch4) is 86 times more potent as a greenhouse gas than a molecule of carbon dioxide (co2). what does it mean to say that methane is a greenhouse gas? to support the metabolic demands of pregnancy and fetal development, the recommended average calories increase is about _____ higher than recommended maintenance calories. (T/F) To be effective, mediators must be rather forceful. If 36. 0 g of NaOH (MM = 40. 00 g/mol) are added to a 500. 0 mL volumetric flask, and water is added to fill the flask, what is the concentration of NaOH in the resulting solution? An exothermic reaction causes the surroundings to A) warm up B) become acidic C) condense D) decrease in temperature E) release CO2 a young girl with myopia has a far point of 2.0 m. what power of lens is required to correct her vision? Which is the solution to the inequality? One-fourth x less-than StartFraction 5 over 6 EndFraction. medicare and many states prohibit managed care contracts from containing explain the correlation between osi and tcp/ip model. then provide example protocols for applications and transport layers in tcp/ip model.