DQ: Risk Management And The Role Of Managed Care

DQ: Risk Management And The Role Of
Managed Care
DQ: Risk Management And The Role Of Managed Care
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:
What is a health care organization’s administrative role in
executing risk management policies and ensuring compliance
with managed care organization (MCO) standards?
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.
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.
Prepare this assignment according to the guidelines found in the
APA Style Guide, located in the Student Success Center. An