ATI Fundamentals for Nursing Questions wit Correct Answers. (100% Accurate)

Medicare Correct Answer for clients over age 65 and/or with permanent disabilities. premiums applied as insurance program reimburses providers based on DRGs. Premiums applied as Managed Care Organizations (MCOs) provide enrolled clients with comprehensive care overseen by a primary care provider. Is federally funded. Medicaid Correct Answer for clients with low income. is federally funded and individual states determine eligibility requirements. Traditional Insurance Correct Answer reimburses for services on fee-for-service basis. Managed Care Organizations (MCOs) Correct Answer comprehensive care is overseen by a primary care provider & focuses on prevention and health promotion Preferred Provider Organizations (PPOs) Correct Answer client chooses from a list of contracted providers. using non-contracted providers increases the client's out of pocket costs Exclusive Provider Organizations (EPOs) Correct Answer the client chooses from a list of providers within a contracted organization Long-Term Care Insurance Correct Answer provides for long-term care expenses not covered by Medicare Preventive health care Correct Answer focuses on educating and equipping clients to reduce and control risk factors of disease. Examples include immunizations, stress management programs, and seat belt use Primary health care Correct Answer emphasizes health promotion, and includes prenatal and well-baby care, nutrition counseling, and disease control. is based on a sustained partnership between client and provider. examples include office or clinic visits and scheduled school/work centered screenings (vision, hearing, obesity) Secondary health care Correct Answer includes the diagnosis and treatment of emergency, acute illness, or injury. examples include care given in hospital settings (inpatient and EDs), diagnostic centers, or emergent care centers Tertiary health care Correct Answer involves the provision of specialized highly technical care. examples include oncology centers and burn centers