Reflective Analysis: Risk Management and the Role of Managed Care

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?
In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed
references.