Reflective Analysis of MCOs
Reflective Analysis of MCOs
Throughout this course, you have identified, examined, and provided individual as
well as collaborative analysis on multiple facets of risk management in the health
care setting.
Addressing the knowledge you have gained, and building on that knowledge to
add your Assessment 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:
1. What is a health care organization’s administrative role regarding oversight of
risk management policies and ensuring compliance with managed care
organization (MCOs) standards?
2. 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.
3. 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. Reflective
Analysis of MCOs.
This assignment uses a rubric. Please review the rubric prior to beginning the
assignment to become familiar with the expectations for successful completion.
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