Managed Care Organization | cipdpro.co.uk

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Managed Care Organization | cipdpro.co.uk

part 1
read Chapters 16 and 22 For your this part address the following 300 word

Describe the sales process in the employer-sponsored model.
Compare the differences between rating and underwriting.
Discuss the influence of the Patient Protection and Affordable Care Act on ONE of the four areas: (a) marketing, (b) sales, (c) rating, and (d) underwriting.

Part 2
read Chapter 23 of the course text. Part 2 address the following 300 word

Describe the information systems functionalities in claims management and member services maintained by Managed Care Organizations (MCOs).
Identify the significance of information systems in maintaining provider network operated by MCOs.
Discuss the changes in information systems to support consumerism that can be recognized in MCOs.

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