A nurse is working with a case manager for a client who participates in a health maintenance organization.
The nurse should identify that a health maintenance organization provides which of the following payment structures?
The provider bills the client directly for a predetermined percentage of the cost of services.
The client pays the insurer a percentage of the total costs for each service rendered by the provider.
The client is participating in a fee-for-service healthcare insurance program.
The provider is paid a fixed sum for the client on a monthly or yearly basis.
The Correct Answer is D
In a health maintenance organization (HMO), the provider is paid a set amount of money for each client enrolled in the program. This payment structure is known as capitation.
The provider is responsible for providing all necessary healthcare services to the client within the confines of the capitated payment.
The client is not required to pay the provider directly for any services rendered within the HMO network.
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Related Questions
Correct Answer is C
Explanation
Extension cords are designed for temporary use and should not be used as a permanent solution for providing power to appliances and other electrical devices. Instead, clients should use outlets that are conveniently located near their appliances. Overuse of extension cords can create tripping hazards and increase the risk of electrical fires. It is also important for clients to avoid running cords under carpets or rugs, as this can cause the cords to overheat and increase the risk of electrical fires.
Finally, clients should be advised to unplug appliances by gripping the plug and pulling it out of the outlet, rather than pulling on the cord.
Correct Answer is A
Explanation
Contact precautions are used for infections that are spread through direct or indirect contact with a patient or their environment. In the case of herpes simplex, the virus is spread through contact with lesions or secretions from an infected individual.
Option b requires airborne precautions, as tuberculosis is spread through the air.
Option c requires droplet precautions, as diphtheria is spread through respiratory droplets.
Option d also requires droplet precautions, as pertussis is also spread through respiratory droplets.
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