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Risk Management and the Role of Managed Care 5
Risk Management and the Role of Managed Care 5Risk Management and the Role of
Managed Care 5Throughout this course, you have identified, examined, and provided
individual as well as collaborative analysis on multiple facets of risk management in the
health care setting.Addressing the knowledge you have gained, and building on that
knowledge to add your evaluation of the role that the managed care organization (MCO)
plays in today’s health care environment, develop a 250-500 word reflection to incorporate
the following:What is a health care organization’s administrative role regarding oversight of
risk management policies and ensuring compliance with managed care organization (MCOs)
standards?What is your assessment of the value provided to an organization that stems
from the regulatory statutes of a typical MCO? Consider the establishment of conflict
resolution and risk management strategies within the health care organization from the
employer/employee perspective as well as in regards to patient conflict
circumstances.What MCO responsibilities pertain to the Patient Protection and Affordable
Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud,
waste, and abuse laws?ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSYou
must proofread your paper. But do not strictly rely on your computer’s spell-checker and
grammar-checker; failure to do so indicates a lack of effort on your part and you can expect
your grade to suffer accordingly. Papers with numerous misspelled words and grammatical
mistakes will be penalized. Read over your paper – in silence and then aloud – before
handing it in and make corrections as necessary. Often it is advantageous to have a friend
proofread your paper for obvious errors. Handwritten corrections are preferable to
uncorrected mistakes.Use a standard 10 to 12 point (10 to 12 characters per inch) typeface.
Smaller or compressed type and papers with small margins or single-spacing are hard to
read. It is better to let your essay run over the recommended number of pages than to try to
compress it into fewer pages.Likewise, large type, large margins, large indentations, triple-
spacing, increased leading (space between lines), increased kerning (space between
letters), and any other such attempts at “padding” to increase the length of a paper are
unacceptable, wasteful of trees, and will not fool your professor.The paper must be neatly
formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each
page. When submitting hard copy, be sure to use white paper and print out using dark ink. If
it is hard to read your essay, it will also be hard to follow your argument.

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Risk Management and the Role of Managed Care 5.docx

  • 1. Risk Management and the Role of Managed Care 5 Risk Management and the Role of Managed Care 5Risk Management and the Role of Managed Care 5Throughout this course, you have identified, examined, and provided individual as well as collaborative analysis on multiple facets of risk management in the health care setting.Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today’s health care environment, develop a 250-500 word reflection to incorporate the following:What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSYou must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.Likewise, large type, large margins, large indentations, triple- spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.