Risk Management And The Role Of
Managed Care 7
Risk Management And The Role Of Managed Care 7
The purpose of this assignment is to analyze the role of managed
care organizations within health care and risk management
programs.
Reflect on and evaluate the role that the managed care
organization (MCO) plays in today’s health care environment by
developing a 250‐500-word response that addresses the
following:
1-What is a health care organization’s administrative role in
executing risk management policies and ensuring compliance
with managed care organization (MCO) standards?
2-What value do the regulatory statutes of a typical MCO provide
to a health care organization? Consider how strategies pertaining
to policies such as conflict resolution and risk management affect
patients as well as employees and employers.
3-What MCO responsibilities relevant to the Patient Protection and
Affordable Care Act (ACA) and Center for Medicare and Medicaid
Services (CMS) focus on fraud, waste, and abuse laws?
In addition to your textbook, you are required to support your
analysis with a minimum of two peer‐reviewed references.
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The Role of Managed Care in Risk Management 7
The Role of Managed Care in Risk Management 7
This assignment’s goal is to examine the role of managed care organizations in health care and risk management programs.
Consider and evaluate the role of the managed care organization (MCO) in today’s health care environment by writing a 250-500-word response that addresses the following:
1-What is the administrative role of a health care organization in implementing risk management policies and ensuring compliance with managed care organization (MCO) standards?
2-What value do a typical MCO’s regulatory statutes provide to a health care organization? Consider how policy strategies such as conflict resolution and risk management affect patients, employees, and employers.
