Although it was uncomfortable, a home health nurse finally learned to discuss finances with the client and family on the very first visit. Visits had to be reimbursed. Now that she is working for a different agency, funding was no longer such a concern
Which of the following offers the best explanation for this change?
a.
Because the nurse was an unpaid volunteer professional, visits made by that nurse had no cost to the agency.
b.
Only clients of high socioeconomic class were admitted for care, so the agency was always immediately reimbursed for care rendered.
c.
Taxpayers fund official (i.e., public) home health agencies for care not reimbursed by third parties.
d.
The new agency has a large foundation that funds its activities from investment profits.
ANS: C
Taxpayers fund official (i.e., public) home health agencies, but they also receive reimbursement from third-party payers such as Medicare, Medicaid, and private insurance companies. This additional taxpayer funding eliminates the stressor as to who will be paying for the nursing visits for both the client and the home health agency. The nurse is not working as an unpaid professional volunteer for this agency. The clients served by the official agency are not likely of a high socioeconomic class and the agency most likely does not have a large foundation to assist with paying for services that are provided.
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