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Skilled Nursing Caretaker Retains.docx
1. [From 10$/Pg] Skilled Nursing Caretaker Retains
[From 10$/Pg] Skilled Nursing Caretaker RetainsQuestion 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 POSTQuestion A: Managed care is a method of
delivering health care in which a single entity manages finance, insurance, delivery, and
payment. Health maintenance organization (HMO), Preferred Provider Organization (PPO),
and Point of Service (POS) are three types of managed care in the market. The emphasis,
intention, and audience of all these categories differ from the others. HMO emphasizes
health care offering medical treatment for those in need as well as many other services to
assist individuals to maintain their health. In reaction to the expansion of HMO plans, PPO
plans are being introduced. To get coverage within an HMO, the individuals must stay
within the network of providers whereas in the PPO plan individuals can have access to the
network and out of the network of providers. According to Shi (2015), HMO has providers
on staff as well as contracted. In the case of PPO, providers are contracted. HMOs need
referrals for specialty treatments, but PPOs allow patients to access them without
restriction. As mentioned by Managed Care outlook (2013), HMOs create networks of
providers (doctors, hospitals, specialists, etc.) from whom members may select to receive
treatment. While less flexible, HMOs tend to be less expensive with fewer out-of-pocket
costs. PPO programs allow customers greater control over their health insurance coverage
and treatment quality. HMO is preferred by most due to low monthly and out-of-pocket
costs even though it doesn’t cover all the areas and treatments.Question B: Nursing homes
adopt a patient-centered care model to increase patient satisfaction. As an outcome,
patients and their families are valued and appreciated throughout their healthcare journey.
As mentioned by Shi (2015), certifications and licenses are generally needed for nursing
care institutions. Non-compliance may reduce the quality of patient treatment resulting in
fines and closures. So, these facilities support such as help prioritize what matters most to
patients and families, plans for symptom management, care coordination, and additional
homecare or assistive devices to compensate for functional losses (Toles et. al., 2021).
Routine sterility and cleanliness practices, politeness and respect, and an act of trust that a
skilled nursing caretaker retains towards patients play a significant role in raising the
standard of living. According to Toles et al. (2021), nursing care facilities have reduced the
2. mortality of patients recovering from serious illnesses. The sole goal of nursing care centers
is to optimize adherence to treatment following primary care from
hospitals. References:Changing Landscape of Health
Insurance Coverage Could Have a Significant Impact on HMOs. (2013). Managed Care
Outlook, 26(5), 9–11.Shi, L. (2015). Essentials of the U.S. Health Care System (4th Edition).
Jones & Bartlett Toles, M., Colón-Emeric, C., Hanson, L. C., Naylor, M., Weinberger, M.,
Covington, J., & Preisser, J. S. (2021). Transitional care from skilled nursing facilities to
home: study protocol for a stepped wedge cluster randomized trial. Trials, 22(1), 1–15.
https://doi.org/10.1186/s13063-021-05068-0