A nurse in an antepartum clinic is reviewing the medical records of four clients.

 Which of the following infectious conditions should the nurse report to the Centers for Disease Control and Prevention? 

Answer is b. The provider is paid a fixed sum for the client on a monthly or yearly basis.

A health maintenance organization (HMO) is a type of health insurance that contracts with a network of providers and facilities to offer care at a discounted rate. The HMO pays the provider a fixed sum for each client, regardless of the services they use. This is called capitation³. The HMO also requires the client to have a primary care provider who coordinates their care and makes referrals to specialists².

a. This statement is wrong because it describes a co-payment, which is a fixed amount that the client pays for each service. Co-payments are usually low in HMOs, but they are not the main payment structure².
c. This statement is wrong because it describes a fee-for-service health care insurance program, which is the opposite of an HMO. In a fee-for-service program, the client pays the insurer for each service they use, and the insurer reimburses the provider. This gives the client more freedom to choose their provider, but it also increases the cost of health care¹.
d. This statement is wrong because it describes a co-insurance, which is a percentage of the total cost that the client pays for each service. Co-insurance is more common in preferred provider organizations (PPOs), which are another type of health insurance that offer more flexibility than HMOs, but also higher premiums

The client can choose a non-family member as the designated power of attorney. A durable power of attorney for healthcare is a legal document that designates a person to make healthcare decisions on behalf of the client if they become unable to do so. The client can choose any competent adult as their designated power of attorney, not just a family member. The living will is a legal document that outlines a client's wishes for end-of-life care, but it is not a contract between the client and provider. The family does not have the authority to revoke a do-not-resuscitate order at any time, and the client cannot verbally choose a health care proxy.