Explanation:
<h3>I’ll describe this in simplest terms. Things can be considerably more complex that this, and many reimbursement model variants exist in between these two “extremes”</h3>
<h3><em><u>Fee</u></em><em><u> </u></em><em>for</em><em> </em><em>Service</em><em> </em>: the provider (e.g. doctor or hospital) bills the insurer. The insurer adjudicates the claim, and reimburses the provider at rates that have been agreed upon by the two, less any portions for which the patient is held responsible per the terms if their policy.</h3>
<h3>(Large provider organizations may negotiate their own reimbursement schedules with insurers. Smaller ones mostly just make “take it or leave it” decisions on whether or not they want to accept the insurer’s members as patients, based on whether the insurer’s reimbursement rates appear acceptable to them in light of how badly they need access to the insurer’s supply of patients.)</h3>
<h3>In this model, all risk is carried by the insurer and its members. The insurer’s risk is that its members will require care for which it must pay out as just described. The members’ risk consists of how much they might have to pay in the form of deductibles, co-payments, and coinsurance if they require care. The providers mostly avoid risk because even if they end up treating a particularly expensive mix of patients, their revenue will go up accordingly.</h3>
<h3><em>Capitation</em><em> </em>: the provider is compensated primarily by a flat amount - the ‘capitation amount’ - that the insurer pays to them, per member/per month. Typically there will also be co-pays that are the responsibility of the member/patient. Then it is up to the provider to do its best to manage how it treats its cap patient population so that its costs of caring for them do not exceed the corresponding cap income.</h3>
<h3>In this model, considerable risk has been shifted to the provider. (Not all of it. There typically are provisions in the insurer-provider agreement that shift risk back to the insurer in circumstances of high patient utilization beyond the provider’s control. As previously noted, there can be many variants. And of course the member/patients still bear some risk with the copays etc.). This model creates incentive for the provider to think and act like they are “part provider, part insurer”. It is an “in between” model that stops short of the providers and insurer becoming one-and-the-same business (like Kaiser is, for example).</h3>
<h3>
<u>Sorry</u><u> </u><u>for</u><u> </u><u>the</u><u> </u><u>Subheadings</u><u> </u><u>letters</u></h3><h3>
<u>#Mark</u><u> </u><u>me</u><u> </u><u>as</u><u> </u><u>Brainliest</u><u> </u><u>Answer</u></h3>
Mental health is related to mind while emotional health is related to feelings.
Further Explanation
Mental health
As per the World Health Organization (WHO), psychological wellness incorporates "abstract prosperity, saw self-viability, self-sufficiency, capability, between generational reliance, and self-completion of one's scholarly and enthusiastic potential, among others." The WHO further expresses that the prosperity of an individual is enveloped in the acknowledgment of their capacities, adapting to ordinary worries of life, gainful work, and commitment to their community. Cultural contrasts, emotional evaluations, and contending proficient speculations all influence how one characterizes "psychological wellness".
Emotional health
It is related to feelings and is synonymous with prosperity and is essential to carrying on with the existence of wholeness, parity, and satisfaction. Basically, an enthusiastic wellbeing definition is one that incorporates strength - getting up when life thumps you down. As opposed to carrying on with an issue free life (very incomprehensible in case you're a person), passionate wellbeing implies that one can skip over from misfortunes and flourish regardless of issues.
Difference between mental health and emotional health
Emotional health prompt accomplishment in work, health, and relationship. Previously, scientists accepted that achievement fulfilled individuals. Fresher research uncovers that it's a different way. Happy individuals are bound to progress in the direction of objectives, discover the assets they need and draw in others with their vitality and positive thinking — key structure squares of achievement. While mental health is proper functioning of brain without any stress or depression. Mental health is associated with thinking.
Answer details
Subject: Health
Level:
High School
Keywords
- Mental health
- Emotional health
- Difference between mental health and emotional health
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Give me cinnamons toast crunch :(
The answer would be B or D but i'm pretty sure it's B
Diabetes tbh, probably gonna be the star on “my 600 ib life”