Ensuring Compliance in MCOs

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?

Ensuring Compliance in MCOs

Prepare this assignment according to the guidelines found in the APA Style Guide.

CHECK PLAGIARISM, MINIMUM OF 3 REFERENCES

The Research paper -Students are required to submit 2 research papers in the semester, the first due in week eight, the second in week15. Late papers will lose a grade for each day it is late.
Each paper will be a minimum of 15 pages in length.

Note that this is to be a critical analysis with research, and not a diary, personal opinions are elicited, but confessional meanderings are not. The degree to which a student may become extremely personal is the degree to which the ideas of the class can be brought to bear upon the utterances in a critical manner.

All Research papers are to be typed, in manuscript format. The Publication Manual of the American Psychological Association is the source, in the Graduate Communication Arts Department for format and citation techniques. Note that this technique is somewhat different from the MLA style usually taught in most English classes. Each journal will outline the major ideas of the textbook assigned for that period and will relate those ideas to the needs of contemporary communication within the scope and techniques of the course. You should use outside research (a minimum of 10 sources) to examine and analyze the relevant points of the text.

Using the lecture notes to aid you, please expand on the ideas of the text by looking into the future of our industry and predicting its impact on our society.

No less than 15% and no more than 25% of your paper should be quoted material

Grading Rubric – Tips on writing your Research paper

The assignment for each paper will be graded on the following:

Five or so topics discussed in the text (each from a different chapter) applied to today’s world and the Mass Media – Lecture notes and discussions should be included –10 points

Your 10 resources and quotes from other experts’ -5 points

Update of the texts ideas- 5 points

New / original ideas/ Incite into impact on our society -5points

Points will be taken off for the following:

All papers are to be typed, in manuscript format. APA–minus 2 points if not done
Late- minus 1 point per day
15 pages-minus 1 point for each page under 15 pages
Approximately 20% of your paper should be quotations. Penalty for having more than 25% quotations or less than 15% could result in failure