Description
Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today's health care environment, develop a 250-500 word reflection to incorporate the following:
- What is a health care organization's administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
- What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.
- What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Explanation & Answer
Hi again, I have just completed the assignment. Please find attached. It has been nice working with you. 😊
Managed Care Organization
Thesis statement: Responsibilities and value of Managed Care Organizations to comprise the
provision of medical services that are cheap and certified by the department of consumer and
Business Services.
1. Role of the Health Care Organization
2. Value Assessment in a Health Care Organization
3. MCO’s Responsibilities Pertaining PPACA
MANAGED CARE ORGANIZATION
1
Managed Care Organization
Institution Affiliation
Date
MANAGED CARE ORGANIZATION
2
Role of the Health Care Organization
Managed care organization is a health care organization that offers health care plans to
self-insured employers using a specific network to offer particular products and services. They
provide ...
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