What is a disadvantage of the health maintenance organization ...

[viki]

What is a disadvantage of the health maintenance organization (HMO)?
 
  a. The plan requires a high deductible payment before doctor's office visits are covered.
  b. Access to specialists is limited due to the need for physician referrals.
  c. There is a very limited number of primary care providers in the system.
  d. Only 50 percent of the hospital cost is cov-ered.

Question 2

Who of the following is an advanced practice nurse?
 
  a. A certified registered nurse (RN) who pro-vides primary care to low-risk clients in a community health center
  b. An RN who works in the high-risk newborn nursery
  c. An RN who assists the physician during a cesarean section delivery
  d. A master's prepared RN who is a manager of a large labor and delivery unit

[sarah_brady415]

Answer to Question 1

B
When specialist care is sought, there must be a referral from the primary provider or the expenses will not be covered. Family practice providers serve as gate keepers, and referrals are made only to certain specialists. HMOs require only small copayments and are one of three types of managed care plans. Hospitalization is usually covered by HMO insurance, with a small copayment.

Answer to Question 2

A
Advanced practice specialities involve additional certification beyond licensure. An RN who works in the high-risk newborn nursery and one who assist the physician during a cesarean section hold positions that do not require additional certification. A master's prepared nurse can serve as a manager without being certified as an advanced practice nurse.

[viki]

Thank you

[sarah_brady415]

Happy to help you