Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD plan and was disappointed with the service she received from her primary care physician because she was told she would have to wait five weeks to get an appointment when she was feeling ill. She called you to ask what she could do so she would not have to put up with such poor access to care. What could you tell her?

Answers

Answer 1

I would tell Mrs. Burton that she could file a petition against the MA-PD plan to complain about the poor access to care and lack of timeliness in getting an appointment with her primary care physician.

CMS is an acronym for Centers for Medicare & Medicaid Services and it is a federal government agency that is saddled with the responsibility of administering (running) major healthcare programs across the United States of America such as;

Medicare. Medicaid. Children's Health Insurance Programs (CHIPs).

Furthermore, the Centers for  Medicare & Medicaid Services (CMS) has an oversight function over health related products or plans such as;

Prescription drug plans (PDPs).  Medicare advantage (MA). Medicare-Medicaid Plans (MMPs). Medicare advantage prescription drug (MA-PD) plan.

In this scenario, a retiree named Mrs. Burton enrolled in a Medicare advantage prescription drug plan (MA-PD) plan.  

However, when she felt ill she was informed by her primary care physician that she would have to wait for five (5) weeks before she gets an appointment. Consequently, Mrs. Burton was disappointed with the poor access to care (service), lack of timeliness for appointments and as such reached out for an advice.

As an advice or suggestion, I would tell her she could file a petition with the Centers for  Medicare & Medicaid Services (CMS) stating the poor access to care and lack of timeliness in getting an appointment with her primary care physician under the Medicare advantage prescription drug (MA-PD) plan.

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Answer 2

Answer: She could file a grievance with her plan to complain about the lack of timeliness in getting an appointment.

Explanation:


Related Questions

You suspect appendicitis in Andrew, who is 18. With his right hip and knee flexed, you slowly rotate his right leg internally to stretch a muscle. He states that it is painful over his right lower quadrant. Which sign did you elicit?

Answers

Answer:

Obturator sign

Understanding Bioenergetics 1. During a 3-minute boxing round, identify which energy system is the predominant system being used to fuel the specific activity described below:
First punch within 3 seconds of starting the round--___________ A continuous flurry of jabs and fast moves lasting about 30 seconds after 1.5 minutes into
the round—______________ During the last 30 seconds of 3 minute round, while moderately moving around the ring--
__________ Sitting on the stool in the corner of the ring during the 1-minute rest between rounds--
_________
2. For each of the energy systems you listed above, list which macronutrient(s) is being utilized.
Sitting on the stool in the corner of the ring during the 1-minute rest between rounds— ___________________________________
First punch within 3 seconds of starting the round—____________________ A continuous flurry of jabs and fast moves lasting about 30 seconds after 1.5 minutes into
the round--______________ During the last 30 seconds of 3 minute round, while moderately moving around the
ring—________________

Answers

The mechanism by which energy is produced for our ability to do work is known as energy systems

1. The correct option that fills the gaps for the type of predominant energy system being used are;

Phosphagen systemGlycolytic systemOxidative systemOxidative system

2. The macronutrients utilized are;

Carbohydrates, fats and proteinsPhosphocreatineGlycogen

The reason the above energy systems and macronutrients are correct are as follows:

The three energy systems used boxing are;

The phosphagen system; 10 to 30 seconds of intense activities, and replenishes in 3 to 5 minutes

The glycolytic system; Intense activity that lasts from 30 seconds to 3 minutes

The oxidative system; Low intensity activities that last for long duration

The first punch within 3 seconds of starting makes use of the

phosphagen system. The body makes use of the store of ATP to create an

explosive effect of throwing first punch

During the continuous flurry of jabs and fast moves that lasts up to 30

seconds after 1.5 minutes into the round, the body makes use of glycolytic

system

The oxidative system is used for the moderate activity of moving

around in the ring that last 30 seconds out of the 3 minutes round

The oxidative system is used when resting such as sitting on the stool

in the corner of the ring during the 1-minute rest between rounds

2. The micronutrients being utilized are;

Carbohydrates, fats and proteins are the micronutrients used when sitting on the stool in the corner of the ring during the 1-minute rest between rounds when the oxidative system is being usedPhosphocreatine and the store of ATP is used within 3 seconds of starting the round when the phosphagen system is being usedGlycogen is used as the macronutrient during the 30 seconds of 3 minute round while moderately moving around the ring

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Food maintained at a specific temperature when sitting is known as hot or cold...
standing
waiting.
thawing.
holding.

Answers

Answer:

Thawing

Explanation:

The food is thawing when you just leave it out

Food maintained at a specific temperature when sitting is known as hot or cold thawing.

What is thawing?

At the time when frozen food is thawn. So it is the best plan ahead or it should be thawn in the refrigerator at a similar kind of temperature that is likely to be 40 degrees or below.

The three ways can be like

In the refrigerator. In cold water.In microwave.

Hence, the third option is correct.

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ACA section 1557 rules for disability concern

Answers

Answer:

The ACA section 1557 was signed into law in March 29010. It ensures that healthcare providers are not discriminatory towards any type of persons in the society and have access to healthcare insurance schemes to make it affordable for the citizens.

They are required to be unbiased about people with different ethnic background, race, gender, religion, physical appearances, and also people living with disabilities.

Answer:

Policies and procedures, physical access, and communication.

Explanation:

Under Section 1557, covered entities (such as health plans) must take actions that include: (1) Making reasonable changes in policies, procedures, and practices where necessary to provide equal access to individuals with disabilities; (2) Ensuring newly constructed and altered facilities are physically accessible to individuals with disabilities; and (3) Providing effective communication with individuals with disabilities, including patients and their companions.

Give an example of one social,one physical and one economic benefit of these projects for the community?

Answers

answer of the question given in figure

A man is overweight and wants to improve his cardiovascular endurance.

Why is this important to his health?


It can help the man raise his LDL cholesterol and lower his cardiac output.

It can help the man lose weight and reduce the risk of cardiovascular disease.

It can help the man lower his VO2 max and his anaerobic threshold.

Answers

Answer:

c no.

Explanation:

because i think it can help the man lose weight and reduce the risk of cardiovasculat disease

hope it helps

You are working with a client who weighs 180 lbs with a body-fat percentage of 20%. What will his approximate weight be when he reaches his goal of 15% body fat, assuming that his lean body mass remains constant?
A. 144 lbs
B. 149 lbs
C. 169 lbs
D. 175 lbs

Answers

Answer:

It should be A) 144 lbs

Explanation:

180x(1-20%)

Section 1 - Question 26
Having high cholesterol can lead to which lifestyle disease?
Heart Disease
Diabetes
Anemia
Migraines​

Answers

Answer:

Heart Disease

Explanation:

High amounts of cholestoral can clog up your artiries, making it hard for blood to flow throughout your body and get to your heart.

Diabetes is also linked to high levels of cholesterol, but the main diseas associated with it is heart disease.

URGENT/EDGE: An individual’s health is affected by their environment and personal genetic makeup.
True or False
==============
I feel like common sense says it's true but another person answered the same question with false - edge2021

Answers

Answer:

True

Explanation:

Someone’s overall health is made of of physical, mental, and emotional health. Their environment and surroundings, such as their peers or friends or sometimes activity causing stress and anxiety, affect their mental and emotional health.

How can you help prevent concussions?
Talking to students about ways to lower the chance for hits to the head.
Talk about concussion only at the start of the season.
Let students know that only helmets can prevent concussion.

Answers

We can prevent concussion by talking to students about ways to lower the chance for hits to the head, talk about concussion only at the start of the season and let students know that only helmets can prevent concussion.

Concussion means a traumatic brain injury caused by a blow to the head which affects the brain function.

Symptoms that exist after suffering Concussion:

• Headaches

• Issues with concentration and memory

• Problem with balance and coordination

In schools, efforts are made by the authorities to inform the students on what concussion is and how it can be prevented.

Safety measures like wearing of helmet are adviced to be used to prevent impact of direct blow to the head.

In conclusion, talking to students about ways to lower the chance for hits to the head, talking about concussion only at the start of the season and letting students know that only helmets can prevent concussion are ways to prevent concussions.

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Please help due today

Answers

Answer:

A

Explanation:

it does not matter if the equipment is cool or cute

it matters if it is cheap bc it will probably not work to the full potential

and its very important to know where the materials are and keeping it in order.

the answer is A bc first its obvious and second bc in order for something to be safe it has to be maintained correctly and regularly.

How can you tell if a community is healthy?​

Answers

Answer: they are treated well feed and watered and beeing takin care of not abused

Explanation:

Food
Water
No fighting
Get along with everyone

Which is a likely result of taking LSD? A. raised heart rate and sped-up nervous system B. altered mood and sensory perceptions C. reduced heart rate and loss of inhibitions'

Answers

Answer:

B. altered mood and sensory perceptions.

Explanation:

What are the characteristics of gingivitis?

Answers

Answer:

The characteristics of gingivitis are: Swollen or puffy gums. Dusky red or dark red gums. Gums that bleed easily when you brush or floss. Bad breath. Recording gums. Tender gums.

wait what ? what are those ?

The valves in the heart open and close to move blood in between heart chambers. O a) three directions O b) two directions O c) four directions d) one direction

Answers

C.) four directions

Hi,

The valves in the heart open and close to move blood in between heart chambers.

d) one direction

By law, vending products must be safe to eat up to one year after the printed use-by date.
O False
O True

Answers

Answer:

False

Explanation:

By law, vending products are not safe to eat up to one year after the printed use-by date because if the products will be consumed after the expiry date, it will taste terrible, and can harm the health of a person.

Most snacks and drinks can be consumed for few months even after its expiry date but not safe after years.

Hence, the correct answer is "False".

Answer:

False

Explanation:

What is the primary difference between compressions on an adult versus a small child

Answers

For a small child push down 1 1/2 but for an adult you push down 2 inches

the left side of the (A. spinal cord, B. cerebrum, C. cerebellum) controls the right side of the body.

thank youuu

Answers

Answer:

cerebellum

Explanation:

Jake used to go surfing with his friends several times each week. Recently, he has been spending a lot of time playing computer games instead of surfing. What do you predict will be a result of this change? (1 point)
Select one:
a. An increase in his appetite and an increase in his stamina
b. A decrease in his stamina and an increase in his energy level
c. An increase in his energy level and decrease in his appetite
d. A decrease in his stamina and a decrease in his energy level

Answers

Answer:

The answer is (A)

Explanation:

Answer:

Option;'d' is correct.

Explanation:

When he spends a lot of time in front of a computer he loses his stamina and also his energy level decreases.

Can you read my respond to see if I have accurately answered the question. If I didn’t feel free to write up your own. The assignment is to briefly describe the physiological process of how the cardiovascular and respiratory system work together.

The cardiovascular system (specifically the circulatory system) works with the respiratory system to get oxygen to the tissues, cells, and organs. Once you inhaled oxygen and it made it to the lungs, the blood capillaries, and to the alveoli for the gas exchange. Finally the CO2 is then able to be exhaled and the blood is oxygen filled. The process of circulation and the two systems working together begins with the heart. In the heart, the right ventricle and atrium are where blood is received from the veins. Deoxygenated blood flows into the right atrium. When the heart muscle relaxes, the blood is emptied from the atrium and into the right ventricle. The right ventricle then pushes the blood through the pulmonary valve and into the pulmonary artery, where the blood is delivered to the lungs to be replenished with oxygen. The blood is then returned to the left side of the heart. Since the right side, the left atrium
receives the blood sending it to the ventricle when the heart muscle relaxes. Finally, the blood is pushed to the aorta and delivered to the rest of your body.

Answers

Answer:

very well put together sounds right

Janelle’s doctor warned her that she has extremely high blood pressure, Which can lead to a variety of dangerous health problems. Which of the following should she increase in her weekly schedule to specifically address this health issue?

Answers

Answer:

exercise.

Explanation:

exercising helps you're body heal

how might q teen's health and social life be affected if the teen tested positive for HIV​

Answers

A teen health and social life will be affected if tested positive for HIV by having less friends, taking more precautions, and having less communication with others because no one would want to get near an HIV teen

A Teen's health and social life would be drastically affected if the teen tested positive for HIV​.

What is HIV infection?

HIV infection may be defined as a type of viral infection in which the white blood cells of the immune system are damaged and individuals become more susceptible to other diseases as well.

The teen who tested positive for HIV​ needs to take more precautions, have fewer or no friends, lack effective communication, no one wants to play with him, and no one wants to talk with him.

His social circle is entirely very small, and overall, his entire life becomes unpleasant.

Therefore, it is well described above.

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#SPJ2

If you need to perform hand hygiene and do not have access to running water, using your personal anti-bacterial lotion is sufficient.

a. True
b. False

Answers

Answer:

True.

Explanation:

The anti-bacterial lotions have the same qualities as we have in our handwash. These lotions are generally used after washing hands with soap or handwash to protect our hands from preventing infections. Though using lotion do not remove dirt and impurities properly from our hands they can best kill the germs of our hands. Moreover, if one does not have running water to wash hands s/he can use an anti-bacterial lotion which is very effective in preventing possible infections.

15 POINTS IF U ANSWER NOW!!!!! Which non-income factor for a potential job promotion would influence a person whose mother needs frequent medical attention? A.) Location (im pretty sure its not A) B.) Personal satisfaction C.) Independence D.)Family

Answers

Answer:

i thinks its D family

Explanation:

because its says something about somebody mother

The answer is D becuase she wants to help her mother and if the mother needs frequent medical attention would influence her for a job promotion.

the left side of the (A. spinal cord, B. cerebrum, C. cerebellum) controls the right side of the body.

thank youuu

Answers

Answer:

Yhe left side of a cerebrum controls the right side of the body.I hope this helps you

6. Why is it crucial to follow standard precautions? A. O Because all blood borne diseases are fatal B. O Because all blood and body fluids carry diseases C. O Because you cannot always tell by looking at a person or a chart if a person has a disease D. O Because you cannot always remember which patient has a disease

Answers

Answer:

C. O Because you cannot always tell by looking at a person or a chart if a person has a disease

One of the best ways to prevent the spread of germs is to _______. Question 1 options: wear latex gloves wash your hands get an annual medical screening wear a respiratory mask

Answers

Answer:

Hand washing

Explanation:

You cannot wear latex gloves for the rest of your lives

An annual medical screening will not stop germs from entering your body

Wearing a mask will still allow germs to spread via hand touching, etc

Washing hands often enables your body to get rid of germs fast

Wash your hands.

There are several reasons why you do not want to wear latex gloves.

Which system produces the body's heat?

Answers

Answer:

Muscular System

Explanation:The muscular system produces body movements, body heat, maintains posture, and supports the body.

Answer:

Most heat is generated in the deep organs, especially the liver, heart, and brain, and in addition to contraction with skeletal muscles

Explanation:

These factors depend upon heating in the body system.

I hope this answer is helpful to you.

Characteristics caused by hormones but that do not include development of reproductive organs are called A. primary sex characteristics. B. secondary sex characteristics. C. physical characteristics. D. body characteristics.

Answers

Answer:

Secondary sexual characteristics

Explanation:

Hormonal secondary characteristics are those that are influenced or stimulated by hormones.

An example of this is the change of voice, the growth of pubic hair, among others.

The indirect effect of hormones refers to the fact that the hormone is directed towards the target organ, generating an effect or response, but in turn, being in plasma concentrations, indirectly generates the appearance of other phenomena in other organs.

Why it is important to exercise your body​

Answers

Answer:

healthy body increase immunity; Exercise also helps prevent heart disease.

Explanation:

will make the shape proportional strong muscles Reduce the accumulated fat in different parts of the body. help lose weight prevent heart disease stronger heart

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Determine the oxidation state for each of the elements below. The oxidation state of ... silver ... in ... silver oxide Ag2O ... is ... ___ . The oxidation state of sulfur in sulfur dioxide SO2 is ___ . The oxidation state of iron in iron( A motorist starts travelling at 2317 on a 172-km journey. At what time will he arrive at his destination given that he travels at an average speed of 48 km/h? You are studying for your final exam of the semester up to this point you received 3 exam scores of 61% 62% and 86% to receive a grade of c and the class you must have an average exam score between 70% and 79% for all four exams including the final find the widest range of scores that you can get on the final exam in order to receive a grade of C for the class 63 to 100% 71 to 100% 68 to 97 Aisha saves 2 Dhs on first week of the month of June, 4Dhs on second week of the month, 8 Dhs on third week of the month and so on. What will be her saving at the end of second week of July? 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Before partitioning, it is always the smallest element in the list. A random choice of pivot is always the optimal choice, regardless of input. Read the excerpt from Fitzgeralds The Great Gatsby.My own house was an eyesore, but it was a small eyesore, and it had been overlooked, so I had a view of the water, a partial view of my neighbor's lawn, and the consoling proximity of millionairesall for eighty dollars a month.Across the courtesy bay the white palaces of fashionable East Egg glittered along the water, and the history of the summer really begins on the evening I drove over there.The contrast created between East Egg and West Egg suggests that the main character feels comfortable in all social situations.Nick will experience a series of financial pitfalls as the story unfolds.the storys conflict will be based on wealth and appearances.the story will be presented from a number of differing perspectives. what is the term for a space between two teeth? A 100.0 mL sample of 0.10 M NH3 is titrated with 0.10 M HNO3. Determine the pH of the solution before the addition of any HNO3. The Kb of NH3 is 1.8 10-5. Which is NOT a characteristic of an oral tradition? A. To entertain an audience. B. To instigate war Between tribes. C. To preserve a cultures history. m+1/4d=7 solve for d No matter how long it may take us to overcome this premeditated invasion, the American people in their righteous might will win through to absolute victory. I believe that I interpret the will of the Congress and of the people when I assert that we will not only defend ourselves to the uttermost but will make it very certain that this form of treachery shall never again endanger us. Hostilities exist. There is no blinking at the fact that our people, our territory, and our interests are in grave danger. Which phrases from the excerpt include loaded words intended to evoke a sense of fear? Selecttwo A rose garden is formed by joining a rectangle and a semicircle, as shown below. The rectangle is 24 ft long and 16 ft wide.Find the area of the garden. Type the correct form and tense of the verb in parentheses. No es cierto que los amigos (ir) a la playa.No creen que (hacer) sol maana. Estoy seguro de que Manuel (venir) con nosotros. Es dudoso que Clara (llegar) a tiempo. Creo que nosotros (comer) en un restaurante en la playa. Me sorprende que el profesor nos (dar) un examen hoy. Ests contento de que tu hermano (recibir) una A en el examen?Es una lstima que los alumnos no (estudiar) ms. Nos alegramos de que no (haber) un examen maana. A la profesora le gusta que los alumnos (ir) a la bibliotheca para estudiar. 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Planned aggregate expenditure equals:________a.1,000. b.1,160. c.1,280. d.1,440.