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Author Question: A client has recently changed health insurance plans and is now part of a health maintenance ... (Read 59 times)

jCorn1234

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on: Jul 8, 2018
A client has recently changed health insurance plans and is now part of a health maintenance organization (HMO). How might the nurse best explain how HMOs operate?
 
  a. HMOs provide creative ways to ensure hospitals can decrease their daily census.
  b. HMOs employ a group of nurses who focus on health education programs.
  c. HMOs encourage physicians to focus on health promotion and self-care.
  d. HMOs organize a network of providers who offer services for a predetermined fee.

Question 2

Which of the following is considered to be a responsibility of an insurance company?
 
  a. Establishing guidelines for employees in hospitals
  b. Establishing the rules of medical practice
  c. Managing third-party reimbursement
  d. Purchasing and managing hospitals and extended care facilities


ergserg

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Reply #1 on: Jul 8, 2018
Answer to Question 1

ANS: D

Answer to Question 2

ANS: C


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