Managed Care Nursing

Category - Patient Issues

What would be the most helpful to an elderly male patient on your caseload who is struggling with understanding the managed care system and the Marketplace processes?
  1. Refer him to the Marketplace website
  2. Provide him with the printed material for options that apply to him
  3. Refer him to the CMS website
  4. Ask him to have a family member help him
  5. None of the above
Explanation
Answer: E- An elderly patient who is struggling with understanding the managed care system through the Marketplace may not find any of the options helpful.

In many cases, family members may not be available or have the knowledge to assist him. Using the resources provided through an ombudsman program or certified representative for face-to-face assistance would serve this patient best.
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