As a case manager,the nurse is aware of the many types of organizations that fund health care,including PPOs and HMOs.The nurse understands that they all function under the philosophy of:

Question

Quizplus · Accepted Answer

PPOs (Preferred Provider Organizations) and HMOs (Health Maintenance Organizations) both operate under the philosophy of managing healthcare costs. PPOs negotiate with healthcare providers to offer discounted rates for services, and HMOs provide healthcare services to members within a network of providers, reducing costs by eliminating out-of-network expenses. The primary goal of both types of organizations is to manage healthcare costs without compromising the quality of care.

As a Case Manager,the Nurse Is Aware of the Many