Author Question: A client has a health insurance plan that has capitated rates. Capitated rates in health maintenance ... (Read 83 times)

NClaborn · **on:** Jul 22, 2018

A client has a health insurance plan that has capitated rates. Capitated rates in health maintenance organizations (HMOs) means that:

a. the recipient directly pays the provider for services when they are performed.
b. the recipient is directly reimbursed from an insurance company for services they paid for in advance.
c. a preset flat fee per member is paid to a provider whether the members use services or not.
d. the government reimburses the health care provider for every client they deliver services to.

Question 2

A client tells the nurse that he receives health care services through the private sector. This sector of the health care delivery system includes:

a. independent providers who are reimbursed on a fee-for-service basis.
b. providing public school nurse services.
c. providing health care to the homeless population.
d. Medicaid services.