How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Chris M. Your Own Question

Chris M.
Chris M., M.S.W. Social Work
Category: Homework
Satisfied Customers: 2504
Experience:  Master's Degree, strong math and writing skills, experience in one-on-one tutoring (college English)
22285537
Type Your Homework Question Here...
Chris M. is online now
A new question is answered every 9 seconds

The 2 most common methods of determining rate or premiums are:A:

Resolved Question:

The 2 most common methods of determining rate or premiums are:
A: community & actuarial rating
B: experience & actuarial rating
C: community & experience rating
D: actuarial rating & underwriting
E: underwriting & community rating

A health risk appraisal is an example of a ______________ review
A: concurrent
B: retrospective
C: continued pay
D: prospective

A well-run Member Service department in a MCO will always:
A: be proactive in its approach to members
B: pay claims on time because the state may have “time to pay” requirements
C: make sure it records enrollment of members accurately because physicians get paid by that information under a capitation system
D: make sure ID cards get out on time to keep members from being dissatisfied with the MCO

The HMO Act of 1973 was a landmark piece of federal legislation that:
A: caused members of HMOs to grow because of the availability of federal money
B: actually reduced the number of HMOs because the guidelines were so strict they were too hard to comply with
C: states did not want to comply with because it cost the money
D: essentially did away with indemnity insurance

_________________ is an amount the contractor may want to include to cover the unexpected items.
A: overhead
B: contingency
C: labor
D: profits

The amount of time that a particular activity can be delayed without delaying the succeeding activities earliest start time is:
A: total slack
B: free slack
C: scheduling
D: what-if period

The equation for calculating an activity’s latest start time is LS=________________
A: LF-duration estimate
B: LF-actual finish
C: early finsh+duration estimate
D: late finish+duration estimate

The objective of the cost section of a proposal is to convince the customer that the contractor’s price for the proposed project is:
A: inexpensive & affordable
B: competitive & fair
C: realistic & reasonable
D: fair & comprehensive

When a project has a negative total slack, some activities need to be _____________ in order to finish the project by its completion date.
A: accelerated
B: leveled
C: smoothed-over
D: tracked

How should a medical ethics committee be constituted? The hospital administration should chose:
A: a broad selection of stakeholders
B: the best experts it can find
C: the committee members
D: people who agree with him/her

An argument that genetic screening will inevitably lead to eugenics is probably based upon the fallacy of:
A: ad populum
B: hasty generalization
C: begging the question
D: slippery slope

What is the weakness of the following argument? (1) our medical profession is under an obligation to provide all services desired and requested be patients. (2) Some terminally ill patients will request assisted suicide (3) therefore, the medical profession is under an obligation to assist in the suicide of patients who request it.
A: Premise 2 is not true
B: Premise 1 is not true
C: Even if both premises 1 & 2 are true they do not logically imply statement 3
D: the argument has no weakness

Regarding the Human Genome Project, which of the following results is LEAST likely? It will:
A: lead to eugenics
B: lead to radical new cures
C: lead to monstrosities
D: not cause any ethical problems

Which of the following does NOT provide reasons for allowing medical resources?
A: ability to pay
B: Criminal justice
C: first come, first serve
D: distributive justice

Under conditions of _____________________ it is impossible to improve the well-being of anyone without a corresponding decline in the condition of another individual.
A:microregulation
B: pareto optimality
C: a cardinal economy
D: laisses-faire
E: macroregulation

Which of the following is NOT a strategy available to exert control over the legislative environment?
A: use of expert witness
B: policymaking
C: technical reports
D: use of trade associations

The _____________ was the most prominent group touting the virtues and potential of private insurance.
A: American Medical Association
B: United Auto Workers
C: Congress of Industrial Organizations
D: Committee n the Nation’s Health
E: Republican Party

What part of the business community is best organized for politics?
A: health care “consumers”
B: big business
C: Legislators
D: The small business community
E. Regional coalitions

The effort to move senior citizens into managed care plans began during the ______________ administration?
A: Reagan
B: Clinton
C: Carter
D: Kennedy
E: Obama
Submitted: 1 year ago.
Category: Homework
Expert:  Chris M. replied 1 year ago.
Hello, and thanks for the questions.

Here are the answers for comparison with your own. Let me know if you have questions about any of these answers and I will double-check those.

1. C: community & experience rating
2. D: prospective
3. A: be proactive in its approach to members
4. A: caused members of HMOs to grow because of the availability of federal money
5. B: contingency
6. B: free slack
7. A: LF-duration estimate
8. C: realistic & reasonable
9 A: accelerated
10. A: a broad selection of stakeholders
11. D: slippery slope
12. B: Premise 1 is not true
13. D: not cause any ethical problems
14. B: Criminal justice
15. B: pareto optimality
16. B: policymaking
17. A: American Medical Association
18. B: big business
19. A: Reagan

Hope this helps!
Chris M., M.S.W. Social Work
Category: Homework
Satisfied Customers: 2504
Experience: Master's Degree, strong math and writing skills, experience in one-on-one tutoring (college English)
Chris M. and other Homework Specialists are ready to help you
Customer: replied 1 year ago.

i forgot one so sorry.


 


"Stop-loss" is:


A. sometimes called subrogation


B. used to protect the member from serious financial consequences


C. always set at a predetermined dollar value


D never used in a risk-based system because the losses would be too hard to calcuate

Expert:  Chris M. replied 1 year ago.
THIS ANSWER IS LOCKED!
You can view this answer by clicking here to Register or Login and paying $3.
If you've already paid for this answer, simply Login.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
< Last | Next >
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
  • He answered my question promptly and gave me accurate, detailed information. If all of your experts are half as good, you have a great thing going here. Diane Dallas, TX
 
 
 

Meet The Experts:

 
 
 
  • Manal Elkhoshkhany

    Tutor

    Satisfied Customers:

    4520
    More than 5000 online tutoring sessions.
< Last | Next >
  • http://ww2.justanswer.com/uploads/BU/BusinessTutor/2012-2-2_115741_Kouki2.64x64.jpg Manal Elkhoshkhany's Avatar

    Manal Elkhoshkhany

    Tutor

    Satisfied Customers:

    4520
    More than 5000 online tutoring sessions.
  • http://ww2.justanswer.com/uploads/LI/lindaus/2012-6-10_04811_IMG20120609164157.64x64.jpg Linda_us's Avatar

    Linda_us

    Finance, Accounts & Homework Tutor

    Satisfied Customers:

    3121
    Post Graduate Diploma in Management (MBA)
  • http://ww2.justanswer.com/uploads/ComputersGuru/2010-02-13_051118_Photo41.JPG LogicPro's Avatar

    LogicPro

    Engineer

    Satisfied Customers:

    3035
    Expert in Java C++ C C# VB Javascript Design SQL HTML
  • http://ww2.justanswer.com/uploads/lanis/2009-4-1_233717_phput9xef_c1pm.jpg Lani S.'s Avatar

    Lani S.

    Tutor

    Satisfied Customers:

    2457
    Registered Nurse, Internet Researcher, Private Tutor
  • http://ww2.justanswer.com/uploads/chooser77/2009-08-18_162025_Chris.jpg Chris M.'s Avatar

    Chris M.

    M.S.W. Social Work

    Satisfied Customers:

    2341
    Master's Degree, strong math and writing skills, experience in one-on-one tutoring (college English)
  • http://ww2.justanswer.com/uploads/JawaadAhmed/2009-6-27_12137_SIs_SHadi.jpg F. Naz's Avatar

    F. Naz

    Chartered Accountant

    Satisfied Customers:

    1975
    Experience with chartered accountancy
  • http://ww2.justanswer.com/uploads/JK/jkcpa/2011-1-16_182614_jkcpa.64x64.jpg Bizhelp's Avatar

    Bizhelp

    CPA

    Satisfied Customers:

    1873
    Bachelors Degree and CPA with Accounting work experience
 
 
 

Related Homework Questions