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Define the following.1. Medicare2. Medicaid3. Employer coalition4. HEDIS5. Federal Trade Commission6. Kick-back7. ERISA8. McCarren-Ferguson Act of 19459. Anti-trust10. HMO Act of 19731. What is the Central Florida Health Care Coalition (what type of _____ coalition)?2. Why did employers in the U.S. become major sponsors of health care coverage?3. Who purchases healthcare in the U.S.?4. What is the role of labor unions in managed care?5. Describe the Mediciad managed care program.6. What are some practices and regulations of Medicare managed care?7. What is “value”?8. How do purchasers assess plan value?9. How do MCOs manage utilization during the course of a hospitalization?10. What are some methods of managing utilization of specialty services?11. Define utilization management (UM). Does it ever result in denying care?12. What types of reviews are used in utilization management?13. What are some red flags indicating the need for case management?14. Give some examples where case management is not beneficial.15. What does medical technology assessment include?16. What is disease management? Give examples.17. What criteria do MCOs use to authorize or deny medical treatment?18. What are referral authorizations?19. What does pre-certification aim to do?20. Define quality.21. What are some roles/purposes of quality assurance programs?22. What are patient satisfaction surveys intended for?23. What are some sources of data for quality measurement?24. How can outcomes data be used?25. Who accredits managed care organizations?26. Give examples of fraud in health care.27. Give examples of anti-trust violations in health care.28. Distinguish between fraudulent acts and those falling under anti-trust violations.
Critical Review of Research Evidence
Can anyone explain? (maybe in terms of abstinence education and comprehensive education)? What are the changes in types of sexual education?
prepare a 2- to 3-page paper expanding on the literature review submitted in week two.1.explore the existing
1.search the internet and the article database in the library for real applications of statistics in the workplace. as
What did freedom mean to African Americans and how did former slaves express their newly found freedom during the years following the Civil War? Explain and give examples.
Draw an entity-relationship diagram (ERD) for a publishing company that produces indexes of magazine and periodical articles. The following describes the relationships among the entities:
What does LD 50 mean in Industrial Toxicology? Give a brief outline of a Hearing Conservation Programme
A study of Consideration of Future Consequences (CFC) found a mean score of 3.51, with a standard deviation of 0.61, for the 664 students in the sample (Petrocelli, 2003). For the sake of this exercise, let's answer that this particular sample com..
Explain the situation in which you experienced poor communication or poor online etiquette. Suggesr ideas for how communication could have been enhanced.
A few years ago, Dinsey entered into a long-term agreement with McDonalds that included, among other things, joint promotions. From Disney perspective and what you know about the two brands, was this the right decision? is there a downside?
Design a health promotion program for individuals in the workplace or in school that results in increased physical or psychological well-being.
discuss the accepted theory of the energy creation process that is going on right now in our sun. comment on other
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