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Author Question: What is the role of managed care in relation to Medicare and ... (Read 14 times)

asmith134

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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?


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meganmoser117

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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

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Reply 2 on: Jul 12, 2018
YES! Correct, THANKS for helping me on my review

nanny

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Reply 3 on: Yesterday
Excellent

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