CSU Risk Management and the Role of Managed Care Organization Reflection
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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?
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