A client tells the nurse that she is disappointed that her employer is offering a health maintenance organization for a health care benefit
Which of the following can the nurse use as responses to the client as advantages of this type of health plan? (Select all that apply.)
1. "Since there is a nursing shortage, clients need to stay out of the hospital."
2. "This type of plan provides wellness care at a minimal cost to keep people healthy."
3. "This type of plan helps clients avoid illnesses with high costs."
4. "An HMO standardizes diagnostic and treatment decisions across the nation."
5. "This type of plan ensures coordinated services from wellness to death."
6. "This type of plan costs as much as the traditional plans, but the insurance companies get the extra money from premiums."
2, 3, 4, 5
There are several missions and visions of managed care. The first is to provide wellness care at a minimal cost to keep people healthy and avoid providing illness care at a higher cost. Another mission is to standardize diagnostic and treatment decisions across the nation. Managed care emphasizes the delivery of coordinated services across the care spectrum from wellness to death and uses financial incentives to decrease length of stay and achieve cost efficiency. Managed care was not implemented to address the nursing shortage. This type of plan does not cost as much as a traditional health plan nor do the insurance companies receive the extra money from premiums.
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