Healthcare Environment

Question 1

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:

1. What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
2. 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.
3. 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?

Question 2

Read the following scenario and provide your thoughts on how the company should proceed:

“You are a project manager for ABC Company. The company wants to purchase new equipment, train employees on the equipment, and then fully integrate this equipment into the company’s day-to-day processes. You developed a plan that detailed how and when the equipment will be obtained, the timeframe for training employees, and how the equipment will be fully integrated. The equipment arrived on the scheduled date, but you soon realized you forgot to include a plan that outlines how employees will be trained on the equipment. Training is scheduled to start in three days, but without a plan you do not know what to teach the employees about the equipment. The plan has already been initiated and time and resources have already used.”

For this assignment, you will need to compose a substantive post that details a simple solution for the company’s problem. The goal of the company is not to completely abandon the project as they have already put in time and resources. After identifying the solution, consider how you plan to implement it. Since you are a manager you need to put your solution into action.

1. Post a 3 to 4 paragraph discussion post (350 words minimum). Justify your explanations by including in-text citations and references in APA format as applicable.