What types of tools can Medicare Part D prescription drug plans use that affect the way their enrollees can access medications?

Answers

Answer 1

Answer:

The options are

a. Part D plans may use varying co-payments for brand name and generic drugs, but they may not restrict access through prior authorization.

b. The Federal government establishes a set formulary, or list of covered drugs, each year that the Part D plans must use. Beneficiaries should consult the government's list prior to deciding whether they wish to enroll in a Part D plan during that year.

c. Part D plans do not have to cover all medications. As a result, their formularies, or lists of covered drugs, will vary from plan to plan. In addition, they can use cost containment techniques such as tiered co-payments and prior authorization.

d. Part D plans may use varying co-payments, but they are required to cover all prescription medications on the market.

The answer is c. Part D plans do not have to cover all medications. As a result, their formularies, or lists of covered drugs, will vary from plan to plan. In addition, they can use cost containment techniques such as tiered co-payments and prior authorization.

There should be a variation in the drugs covered as the ones commonly used should cost less.

Reducing the cost of healthcare and introduction of flexible payment plans such as tiered copayments will go a long way in ensuring it’s more affordable and cost effective.


Related Questions

Several studies have found that in the United States ,their is a rising trend of obesity for people between the ages of 2 and 19. What does this say about the country's overall health ? A) Youth are at a lower risk of developing chronic diseases later in life. B) Healthier food choices are an important factor in reducing obesity and other chronic illnesses. C) Youth aged 2 to 19 years are less likely to consume unhealthy foods. D) An increase in youth diagnosed with nutrition-driven chronic disease will not likely continue.

Answers

Answer:

it would be B

Explanation:

Obesity is the state of increased body fat. The rising trend of obesity states the importance of healthy foods that can decrease the scale of chronic disease and obesity. Thus, option B is correct.

What is obesity?

Obesity is the disorder of the increased fats in the body that is represented by an increase in body weight. This condition arises due to the increased consumption of fast foods that are high in fats and oils.

The increased case of obesity depicts the poor diet of the people that have led to the disorder. This leads to an increased risk of getting chronic diseases that are because of unhealthy eating choices.

To reduce the conditions of obesity people should include healthy and nutritious food in their diet. A nutrition-deprived diet and excessive fats can be fatal.

Therefore, obesity can be decreased by healthier food choices.

Learn more about obesity here:

https://brainly.com/question/6533159

#SPJ6

Community health care can provide all of the following EXCEPT:
A primary care
В. urgent care
С health insurance
D health education

Answers

i believe it’s B. urgent care
i’m very sorry if it’s wrong
D health education if I’m incorrect I apologize

Which drug can start young people on a path to use other illegal drugs?

marijuana
club drugs
stimulants
alcohol​

Answers

Marijuana would be correct

Answer:

marijuana

Explanation:


Abnormally high levels of solutes in urine may indicate poor kidney
function.
True
False

Answers

Answer:

True

Explanation:

This would be considered true

In 2005,____ of aldult Americans were overweight or obese

Answers

Answer:

32.7%

Explanation:

Americans started to eat more calories than they burn, and the excess energy is stored as fat. With more and more fast food restaurants opening, more and more of Americans were becoming obese.

32.7% of of adult Americans were overweight or obese

A patient refuses to take his medication after meals as prescribed, claiming they upset his stomach. This patient is struggling with

Answers

Answer:

Ulceratis colaitis is the correct answer

What are the primary sources of energy during a marathon?

Answers

You need that water my dude

What food was received in the temperature danger zone

Answers

Answer:

potato salad at 46F

Explanation:

Answer:

46f potato salad

The nurse is preparing to provide mouth care to an unconscious client. The nurse collects which items to perform this procedure The nurse is preparing to provide mouth care to an unconscious client. The nurse collects which items to perform this procedure

Answers

Answer:

small mackintosh-1,towel-1, kidney tray-2,gauze piece or cotton balls, mouth wash solution (0.12%chlorhecidine or 0.5% cetylpyridinium chloride), gloves , galipot-1(denture sookiing solution) , asepto syringe or irrigating bulb, suction catheter with suction apparatus, cotton ball with artery forceps, gauze padded tongue depressor, mouth gag (if patient unconscious to open the mouth), plain water mug, paper mug

five daily servings of daily products or calcium fortified orange juice and soy beverages are recommended to meet calcium needs among older adults
a) TRUE
B) FALSE​

Answers

Answer:

yes it give you more help to your body

Five daily servings of daily products or calcium fortified orange juice and soy beverages are recommended to meet calcium needs among older adults. Thus, this statement is true.

What is food fortification?

Food fortification is the process of adding micronutrients to food. It can be carried out by food manufacturers, or by governments as a public health policy which aims to reduce the number of people with dietary deficiencies within a population.

It takes about 500 mg of calcium in the fortified soy milk to equal 300 mg of calcium in cow milk. Unfortified soy milk contains about 10 mg of calcium per serving. Depending on the brand, manufacturers have been fortifying soy milk with 80 mg to 500 mg of calcium per serving.

For more information regarding food fortification, visit:

https://brainly.com/question/1488851

#SPJ2

what is the effect of sprains​

Answers

Answer:

When you do that your ankle rolls inward or outward damaging the ligaments by stretching and/or tearing them. A sprain can be mild, giving you some pain, swelling and stiffness but the ability to walk easily. A moderate sprain can include swelling, bruising and tenderness and pain when walking.

Explanation:

Answer:

A sprain can be mild, giving you some pain, swelling and stiffness but the ability to walk easily. A moderate sprain can include swelling, bruising and tenderness and pain when walking.

Explanation:

Order: Amlodipine 25 mg PO every TID
Available: Amlodipine 50 mg tablets
How many tablets are needed per day

Answers

Answer:Amlodipine oral tablet is available as a brand-name drug and a generic drug. Brand name: Norvasc.

Amlodipine comes only as a tablet you take by mouth.

Amlodipine oral tablet is used to treat high blood pressure, coronary artery disease, and angina.

Explanation:

Answer:1 and ss or 1/2 tab

Explanation:

(10 LC)
College A
College B
College C
College D
Cost per
7,000
6,500
4,500
10,000
year
60.2%
45.3%
65%
88%
Graduation
Rate
Loan Default 25.2%
17.8%
15.2%
2%
Using the chart, determine which college is the least expensive.

Answers

Answer:

10000

Explanation:

hope it help you .10000 is correct statement

Answer:

College D

im doing the exam rn lol

what is the effect of drowning

Answers

Answer:

Drowning is defined as respiratory impairment as a result of being in or under a liquid. Drowning typically occurs silently, with only a few people able to wave their hands or call for help. Symptoms following rescue may include breathing problems, vomiting, confusion, or unconsciousness. Occasionally symptoms may not appear until up to six hours afterwards. Drowning may be complicated by low body temperature, aspiration of vomit, or acute respiratory distress syndrome.

Drowning is more common when the weather is warm and among those with frequent access to water. Risk factors include alcohol use, epilepsy, and low socioeconomic status. Common locations of drowning include swimming pools, bathtubs, natural bodies of water, and buckets. Initially the person holds their breath, which is followed by laryngospasm, and then low oxygen levels. Significant amounts of water usually only enter the lungs later in the process.it may be classified into three types: drowning with death, drowning with ongoing health problems, and drowning with no ongoing health problems.

Efforts to prevent drowning include teaching children to swim, safe boating practices, and limiting or removing access to water such as by fencing pools. Treatment of those whose who are not breathing should begin with opening the airway and providing five breaths. In those whose heart is not beating and who have been underwater for less than an hour CPR is recommended. Survival rates are better among those with a shorter time under the water. Among children who survive, poor outcomes occur in about 7.5% of cases.

In 2015, there were an estimated 4.5 million cases of unintentional drowning worldwide. That year, there were 324,000 drowning deaths, making it the third leading cause from unintentional injuries after falls and motor vehicle collisions. Of these deaths, 56,000 occurred in children less than five years old. Drowning accounts for 7% of all injury related deaths, with more than 90% of these deaths occurring in developing countries Drowning occurs more frequently in males and the young.

plz.. mark me as brainiest

Which of the following is NOT likely true about being drunk and engaging in sexual activity?

It can decrease the ability to communicate clearly about interests or desires

It can increase or prolong sexual arousal

It can decrease the rate of condom and contraception use

It can increase the likelihood that a person will ignore or disregard their sexual partner's lack of verbal affirmative

Both A and B

Answers

Answer:

I'd say A or D, probably D

Explanation:

When a person is drunk he lost his ability to perform his routine functions properly.

He may be having mental distress or fatigue due to drinking alcohol.  It decrease the ability to properly communicate, walk or drive. The statement which is not correct is statement D.

There is no connection between disregarding a sexual partner with being drunk. A person may faint if he has overdose and then he has no control over his actions performed by his body.

Learn more at https://brainly.com/question/17433289

When should you refuse to accept food in a shipment?

Answers

Answer:

you should refuse to accept food in a shipment when

1) there are dented cans

2) When the food is too expensive

3) When there are no packing slips

4) When the shipment is delivered late

Explanation:

I'd say when the food wasnt preserved properly during shipment which would spoil the food and make it harmful to consume

Which nerve helps people perceive pain?
A.
afferent nerves
B.
cranial nerves
C.
efferent nerves
D.
visceral nerves
Reset Next

Answers

It is visceral nerves
B.cranial nerves should be the answer hope it helps

Thomas is an adolescent who often seeks out potentially harmful situations without thinking about the consequences. Which of the following factors is most likely influencing his decision to drink alcohol? A. hereditary B. environmental C. expectations D. risk-taking T F

Answers

Answer: I think it's environmental.

But still all of them can be the causes behind that.

Explanation:

Summarize the importance of medical necessity and how it relates to medical documentation, coding, and reimbursement? Analyze the process of reviewing medical documentation and note the importance of quality control.

Answers

Answer:

Explanation:

For a service to be considered medically necessary, it must be reasonable and necessary to diagnosis or treat a patient’s medical condition. When submitting claims for payment, it is the diagnosis codes reported with the service that tells the payer “why” a service was performed. The diagnosis reported can be the determining factor in supporting or not supporting the medical necessity of the procedure.

How can you use the FITT principle with cardiorespiratory endurance to set fitness goals?

Answers

Explanation:

The FITT acronym can remind you to slightly alter the Frequency, Intensity, Time (duration), and Type of exercise you do, as you are able, to steadily improve your physical fitness.

Cardiovascular aerobic exercise, or “cardio,” is one of three main types of exercise. (The other two are strength training and stretching.) It is any repetitive, rhythmic exercise that increases your heart rate and requires you to use more oxygen. These FITT guidelines can help you stay on track for fitness in the cardiovascular aerobic exercise component of your overall exercise plan.

Cardiovascular aerobic exercise FITT guidelines:

Frequency: 5 times per week

Intensity: Warm up for 5 minutes. Then do moderate-intensity activity, making sure you can pass the “talk test” - that is, the exercise is not so intense that you cannot converse with someone else. Cool down for 5 minutes.

Time: Exercise for at least 10 minutes at a time, with a goal of at least 30 minutes per day (more is even better, if tolerated).

Type: any activity that raises your heart rate for at least 10 minutes, such as walking, bicycling, jogging, swimming, vacuuming, scrubbing, shoveling, etc.

The FITT principle should be used with cardiorespiratory endurance to set fitness goals as one should exercise based on their fitness levels.

The acronym FITT simply means Frequency, Intensity, Time, and Type. FITT principles are the prescription regarding exercise that is given to help people know how long they should exercise.

Cardiorespiratory endurance is the ability of the lungs and the heart to deliver oxygen to the muscles during physical activity. It is important as it helps in sustaining physical activities.

Examples of exercises that have to do with cardiorespiratory endurance include cycling, running, and swimming.

In conclusion, FITT principle creates a workout plan that'll be helpful for an individual to reach their fitness goals.

Read related link on:

https://brainly.com/question/17415813

When working with a new client utilizing tempo training,which portion of the exercise is drawn out

Answers

Answer:

B

Explanation:

When working with a new client utilizing tempo training, the portion of the exercise that is drawn out is the eccentric phase.

What is tempo training?

Tempo training focuses on controlling the speed at which you lower the weight or perform the eccentric (lengthening) portion of the exercise.

This phase is typically slowed down by using a specific tempo or counting method, such as 3-0-3, where you take three seconds to lower the weight, pause for zero seconds, and take three seconds to raise it. By emphasizing the eccentric phase, tempo training aims to improve muscle control, strength, and muscle hypertrophy.

Read more about tempo training here:

https://brainly.com/question/31566730

#SPJ6

Some studies show a connection between violence and

Answers

Answer:

Aggression. what are the answer choices

Explanation:

Studies have shown a connection between violence and various factors. Some of these include exposure to violence in childhood, substance abuse, socioeconomic factors such as poverty, mental health issues, and access to firearms.

According to research, people who experienced or witnessed violence in childhood may be more likely to engage in violent behavior as adults. Substance abuse, particularly alcohol and drug abuse, is associated with an increased risk of aggression, due to inhibition and deficits in judgment. Rates of violence are higher when socioeconomic factors such as poverty and low education are present. It has also been determined that specific mental health issues and easy access to weapons are major reasons.

Learn more about Violence, here:

https://brainly.com/question/33271488

#SPJ4

Which of these is a commonly abused prescription?

Answers

As a prescription pharmaceutical, hydrocodone is inexpensive as a generic, with relatively fewer side effects. Hope this helps!

Answer:

A

Explanation:

There most often abused as pain killers

what percent of America's fruits and nuts are imported from foreign countries?
50%
79%
15%
32%​

Answers

15% is the correct answer

The percentage of America's fruits and nuts imported from foreign countries is 15%. The correct option is C.

What is importing?

Importing is when any product is taken from another country. When there is a scarcity of any product in the country, then we import it from other country, it also includes taxes.

The number of fruits and nuts that America imports are only 15% because America exports a large number of nuts to other countries.

Thus, the correct option is C, 15% of fruits and nuts are imported from foreign countries.

Learn more about importing, here:

https://brainly.com/question/23660036

#SPJ2

Can someone explain the order of the blood flow through the heart and body using these terms: right atrium, right ventricle, pulmonary artery, arteries, lungs, veins, left atrium, left ventricle, aorta, and capillaries.

Answers

right side:

Blood enters the heart through two large veins, the inferior and superior vena cava emptying oxygen-poor blood from the body to the right atrium.

atrium contracts, blood flows from your right atrium into your right ventricle through the open tricuspid valve.

ventricle contracts, blood leaves the heart through the pulmonic valve, into the pulmonary artery and to the lungs where it is oxygenated.

left side:

pulmonary vein empties oxygen-rich blood from the lungs into the left atrium.

 contracts, blood flows from your left atrium into your left ventricle 

ventricle contracts, blood leaves the heart through the aortic valve, into the aorta and to the body.

veins carry blood to the heart ( deoygenated blood)

Arteries carry blood from heart ( oxygen rich blood)

Capillaries connects them.

Answer:

de-oxygenated blood from the whole body enters the right atrium through the superior and inferior venae cavae (plural)

the right atrium contracts and blood flows into the right ventricle.

From here the blood is pumped into the pulmonary arch.

the pulmonary arch divides into 2 pulmonary arteries leading to each lung.

gas exchange takes place in the lungs

than the oxygenated blood comes back to the left atrium by the pulmonary veins.

the blood moves from the left atrium to the left ventricle.

from the left ventricle it is pumped into a large artery named aorta.

the aorta supplies blood to the whole body.  

two small coronary arteries emerge from the aorta and supply blood to the heart muscles.

veins carry de-oxygenated blood, except the pulmonary vein.

Arteries carry oxygenated blood, except the pulmonary artery.

capillaries supply blood to cells. They are found between the cells of all tissues.

illiac artery supplies blood to the hind limbs

renal artery supplies blood to the kidneys.

hepatic artery supplies blood to the liver

femoral artery supplies blood to the legs.

carotid artery supplies blood to the neck and face.

clavicle artery supplies blood to the arms.

mesenteric artery supplies blood to the organs of digestive system.

Which health issue may occur as a result of bingeing and purging

Answers

Answer:

Arrhythmia and heart palpitations.

Answer:

Your teeth can rot because of the stomach acid in vomit.

Explanation:

Air quality is important to both human health and overall environmental quality.
Please select the best answer from the choices provided.
ОТ
OF

Answers

Answer:

Its T because i just got it right on the practice

Explanation:

Answer: true

Explanation:

Which statement is accurate about malignant mesothelioma? -Mesothelioma is a form of cancer that typically forms in the heart. -Only a small number of mesothelioma cases have been caused by exposure to asbestos. -Mesothelioma develops quickly and can be detected within a few years of exposure. -The family members of those exposed to asbestos are also at risk for mesothelioma.

Answers

The statement which is accurate (true) about malignant mesothelioma is: D. The family members of those exposed to asbestos are also at risk for mesothelioma.

Cancer can be defined as the uncontrolled division of certain body cells, which then invade the surrounding tissues and interfere with the normal functioning of the human body.

Generally, there are different types of cancer and these are:

Prostrate cancer.Carcinoma.Breast cancer.Malignant mesothelioma.

Malignant mesothelioma refers to a type of cancer that is typically associated with the thin layer of tissues covering majority of the internal body organs (mesothelium) and cavities.

Malignant mesothelioma is generally considered to be very aggressive, fatal and deadly in nature.

Basically, malignant mesothelioma is mainly caused by inhaling asbestos into the lungs.

In conclusion, the family members of anyone exposed to asbestos in mills are also at risk of having mesothelioma.

Read more: https://brainly.com/question/24152929

Answer:

D

Explanation:

What is the best way to avoid bacterial contamination

Answers

By washing hands and cleaning surfaces many times
Sterilization is one thing you can do

n a paragraph, compare the merits of drug treatments by medication versus those of behavioral techniques. State which approach you feel is more effective and explain why

Answers

Answer:

drug treatments bc there is normally an uplevel in the patient after a few days as the drugs attack the thing that is wrong

Explanation:

Both medication and behavioral techniques have their merits when it comes to treating various health conditions, including mental health disorders. Medication can be highly effective in treating symptoms by altering brain chemistry, while behavioral techniques focus on changing thought patterns and behaviors to improve overall functioning.

What is advantage of medication?

One advantage of medication is that it can work quickly and effectively to alleviate symptoms of mental health conditions. For example, antidepressants can help reduce feelings of sadness and anxiety within a few weeks.

They can also be highly effective in treating conditions such as bipolar disorder and schizophrenia. Medication can also be helpful for people who have difficulty engaging in other forms of treatment, such as therapy.

On the other hand, behavioral techniques offer a more holistic approach to treatment. By working to change thought patterns and behaviors, individuals can learn coping skills that can help them manage their symptoms in the long term.

Techniques such as cognitive-behavioral therapy (CBT) have been shown to be highly effective in treating conditions such as anxiety and depression, and can help individuals build resilience and improve overall functioning.

While both medication and behavioral techniques have their merits, I believe that behavioral techniques are more effective in the long term.

While medication can be highly effective in treating symptoms, it does not address the underlying causes of the condition, and can have significant side effects. In contrast, behavioral techniques can help individuals develop skills and strategies to manage their symptoms over time, which can lead to lasting improvements in their mental health and overall functioning.

In conclusion, while medication can be highly effective in treating symptoms of mental health conditions, I believe that behavioral techniques offer a more effective long-term solution.

By working to change thought patterns and behaviors, individuals can develop coping skills that can help them manage their symptoms and improve their overall functioning, leading to lasting improvements in their mental health and wellbeing.

Learn more about medication techniques at:

https://brainly.com/question/4496833

#SPJ2

Other Questions
If events A and B are independent, what must be true?P(A|B) =P(B)P(A|B) =P(A)P(A) =P(B)P(A|B) =P(B|A) Em uma prova de conhecimentos gerais, Fernando errou 3/8 do total de 72 questes. Quantas so as questes que Fernando ACERTOU? Make a 3-by-3 logic grid on your own paper. Use it to help you solve the logicpuzzle and answer the question given below.Tina, Jewel, and Amy have three different pets (dog, goldfish, and ferret). Tina is allergic to dogs. Jewel does not have the ferret. The dog belongs to Amy.Who owns the ferret? A cylinder has radius r and height h. A. How many times greater is the surface area of a cylinder when both dimensions are multiplied by a factor of 2? 3? 5? 10? B. Describe the pattern in part (a). At July 31, Farmer Company has this bank information: cash balance per bank $8,344; outstanding checks $804; deposits in transit $1,383; and a bank service charge $58. Determine the adjusted cash balance per bank at July 31. The adjusted cash balance per bank at July 31:___________. Evaluate 7m + 2n - 8p/n for m = 4, n = 2, and p = 1.5. Eight of your friends came to your house to watch a movie. Three-fourths of your friends stayed overnight. How many friends stayed? Please help. Ill mark you as brainliest if correct 1) Suppose f(x) = x2 and g(x) = |x|. Then the composites (fog)(x) = |x|2 = x2 and (gof)(x) = |x2| = x2 are both differentiable at x = 0 even though g itself is not differentiable at x = 0. Does this contradict the chain rule? Explain. Sodium oxide has the chemical formula Na2O. What is the oxidation number of oxygen in this compound? Provide your answer below: ___ Please help. Ill mark you as brainliest if correct! Mitchell Corporation manufactures a single product. The selling price is $85 per unit, and variable costs amount to $68 per unit. The fixed costs are $16,500 per month. What will be the monthly margin of safety (in dollars) if 1,800 units are sold each month 30 points **please help quadratic relations - will give brainlist to first one who answers Please answer this question now Una masa de 0,5 kg est sobre una pendiente inclinada 20 sujeta mediante una cuerda paralela a la pendiente que impide que deslice. Si no hay rozamiento, qu fuerza hace la cuerda? HELP NEEDED NOW Measure the difference between the lower quartile of Data Set A and the lower quartile of Data Set B. Round to the nearest tenth when performing all operations. Lindon Company is the exclusive distributor for an automotive product that sells for $34.00 per unit and has a CM ratio of 30%. The companys fixed expenses are $193,800 per year. The company plans to sell 21,600 units this year. Required: 1. What are the variable expenses per unit? (Round your "per unit" answer to 2 decimal places.) 2. What is the break-even point in unit sales and in dollar sales? 3. What amount of unit sales and dollar sales is required to attain a target profit of $91,800 per year? 4. Assume that by using a more efficient shipper, the company is able to reduce its variable expenses by $3.40 per unit. What is the companys new break-even point in unit sales and in dollar sales? What dollar sales is required to attain a target profit of $91,800? What is the value of 3X to the 2nd power Language Arts - Bible Skills > I need help with this one question will give brainly The following data are the actual results for Marvelous Marshmallow Company for August:Actual output 8,000 casesActual variable overhead $ 427,000Actual fixed overhead $ 149,000Actual machine time 33,400 machine hoursStandard cost and budget information for Marvelous Marshmallow Company follows:Standard variable-overhead rate $ 12.00 per machine hourStandard quantity of machine hours 4 hours per case of marshmallowsBudgeted fixed overhead $ 144,000 per monthBudgeted output 12,000 cases per monthRequired:Compute the following variances:a Variable-overhead spending varianceb. Variable-overhead efficiencv variancec. Fixed-overhead budget varianced. Fixed-overhead volume variance