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Question: 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:
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 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 abstract is not required.
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Provide at least two specific examples of CEM framework that apply within a health care organization with which you are familiar.
After completing this week's readings on learning styles and effective discussions, create a plan for a lecture or other activity for the higher education.
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