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 regard 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?
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