This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: What is the role of managed care in relation to Medicare and ... (Read 34 times)

asmith134

  • Hero Member
  • *****
  • Posts: 576
on: Jul 12, 2018
What is the role of managed care in relation to Medicare and Medicaid?

Question 2

What role does a case manager play in an MCO?


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

meganmoser117

  • Sr. Member
  • ****
  • Posts: 303
Reply #1 on: Jul 12, 2018
Answer to Question 1

Some MCOs contract with the government to insure Medicare and Medicaid patients, and the MCO receives the premium directly from CMS or the individual states on behalf of these members.

Answer to Question 2

The case manager focuses on the social and economic factors that interfere with a patient's ability to comply with the treatment plan. Case managers also assess cases for possible case management implications.


asmith134

  • Member
  • Posts: 576
Reply 2 on: Jul 12, 2018
Wow, this really help

diana chang

  • Member
  • Posts: 288
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Patients are encouraged to take an active role in their health care. Patients are encouraged to take an active role in their health care.
The Role of Microglia as the Protector of Brain The Role of Microglia as the Protector of Brain
After the death of a loved one, family members report concerns about last place of care. After the death of a loved one, family members report concerns about last place of care.
The Role of Gases in the Atmosphere The Role of Gases in the Atmosphere
Posterior view of midbrain in relation to brain stem Posterior view of midbrain in relation to brain stem
Some of the Various E. coli Genes and Their Products or Role in Replication Some of the Various E. coli Genes and Their Products or Role in Replication
Video: The Lac Operon in E. Coli

For a complete list of videos, visit our video library