- What is the benefit to nurse leaders and the organization which employees then to insure the nurse leader is knowledgeable about financial management (i.e., Why is it important for Nurse Managers to study Financial Management)? 2. Who are the key participants in the health care system? 3. What roles does government assume in relation to health care? Give an example of each role that government plays. 4. What are deductibles and why do insurance companies use them? 5. What are the similarities and differences between methods by which home health care and hospitals are reimbursed? 6. What is the difference between an HMO and a PPO? 7. Briefly describe the Patient Protection and Affordable Care Act (ACA), including the driving forces behind its passage.