A client has recently changed health insurance plans and is now ...

[jCorn1234]

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]

Answer to Question 1

ANS: D

Answer to Question 2

ANS: C