Reflective Analysis: Risk Management and the Role of Managed Care
Reflective Analysis: 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 300word response that addresses the following: Reflective Analysis: Risk Management and the Role of Managed Care
- 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.
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- 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? Reflective Analysis: Risk Management and the Role of Managed Care
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.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
RUBRIC
1. An assessment of the administrative role of a health care organization in ensuring compliance with MCO risk management standards is comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
2. An explanation of the value MCO regulatory statutes provide to a health care organization is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
3. A description of the MCO responsibilities relative to the ACA and CMS focus on fraud, waste, and abuse laws are comprehensive. The submission further incorporates the analysis of supporting evidence insightfully and provides specific examples with relevance. The level of detail is appropriate.
4. The thesis is comprehensive and contains the essence of the paper. The thesis statement makes the purpose of the paper clear Reflective Analysis: Risk Management and the Role of Managed Care
5. A clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
6. The writer is clearly in command of standard, written, academic English.
7. All format elements are correct.
8. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error Reflective Analysis: Risk Management and the Role of Managed Care.
