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0Question A: Discuss how PPOs differ from HMOs. Support your

April 13, 2022

0Question A:

Discuss how PPOs differ from HMOs. Support your comparison using references or real-life examples.

Question B:

Discuss how nursing care facilities can enhance a patient’s quality of life. Support your discussion with references or real-life examples.

Write your reflections from the classmate’s post by selecting an idea from the reading, describing your thoughts and feelings about it and why you agree.

CLASSMATE’S POST

Question A

The main differences between PPOs and HMOs are typically cost and flexibility. HMO plans are tied to a network of providers that a person must use for their plan to cover their medical costs. This “network” is built from contracts from health insurers with these providers or facilities, an agreement to provide quality healthcare to their members for a lower cost. In the past, HMO plans require a referral from the member’s primary care physician, though in more recent years, this requirement has faded out with many of the major health insurers. PPO plans, on the other hand, have greater flexibility when it comes to seeking medical care, but typically at a greater premium cost. This is due to the member not having to choose a primary care physician and can get services from in- or out-of-network providers and facilities without a referral. (Felman, 2021)

Question B

Nursing care facilities enhance a patient’s quality of life by using a patient-centered care model. This allows patients and their family members to have a voice, and to have that voice respected and honored during their health journey. It is also important to have staff members who are empathetic to their patients, allowing for a diverse group of people to interact and assist in getting their patients healthy. (Josephine H. Silvestre, Barbara J. Bowers, & and Sue Gaard, 2015)

References

Felman, A. (2021, May 05). What is the difference between an HMO and a PPO? Retrieved from Medical News Today: https://www.medicalnewstoday.com/articles/how-are-ppo-and-hmo-medicare-different

Josephine H. Silvestre, M. R., Barbara J. Bowers, P. R., & and Sue Gaard, M. R. (2015). Improving the Quality of Long-Term Care. National Library of Medicine, 1-5.

Stephanie W. Y. Yu, C. H. (2017). The scope and impact of mobile health. International Journal for Equity in Health, 1-12.

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