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 38 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
Gracias!

pratush dev

  • Member
  • Posts: 321
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

The training of an anesthesiologist typically requires four years of college, 4 years of medical school, 1 year of internship, and 3 years of residency.

Did you know?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

In the summer of 1793, a yellow fever epidemic struck Philadelphia, killing nearly 4,000. Tens of th In the summer of 1793, a yellow fever epidemic struck Philadelphia, killing nearly 4,000. Tens of th
Example of a Medicare Electronic Remittance Advice (ERA). Example of a Medicare Electronic Remittance Advice (ERA).
Congruence among values, beliefs, and role requirements supports the development of empowered ... Congruence among values, beliefs, and role requirements supports the development of empowered ...
The relation between a raw EMG signal and its integrated version. The volunteer tensed her muscle ... The relation between a raw EMG signal and its integrated version. The volunteer tensed her muscle ...
Proteins play an important role in keeping your skin healthy and your nails strong Proteins play an important role in keeping your skin healthy and your nails strong
Role of calcium in muscle contraction Role of calcium in muscle contraction
Video: Glycolysis - Introduction to ATP and the burning of sugar

For a complete list of videos, visit our video library