What is a health care organization’s administrative role in executing risk management policies

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment

Details: 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 are 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?

 

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What is a health care organization's administrative role in executing risk management policies

APA

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