Topic 5 DQ 1
Although Managed Care Organization (MCO) standards create challenges for health care organizations, they are vital to improving quality care for_ patients that require long term and_ who have complicated health conditions. The goal of Managed Care Organization (MCO) primary goal is to manage health costs and quality care (Grand Canyon University, 2019).
Two factors that need to be addressed are Value-based purchasing (VBP) and the uninsured population. Value-based purchasing (VBP) is another measure that is tied in performance to reimbursement. VBP encourages hospitals to improve the quality efficiency, patient experience and safety of care” (Hong et al., 2020). It is an essential program because it enhances the quality of care for the patients, and patients have a better experience during their hospital stay. These scores are tracked and made public by CMS.
The second factor is the number of uninsured people in the United States. Everyone should be able to receive healthcare when they need it. They should receive the appropriate health care treatment in an emergency without penalizing the health care providers that assisted with such cases. Although, they should also emphasize the social determinants of healthcare, such as patients should fully comprehend the meaning of actual emergencies. MCO can sometimes rule out that treatment received in an emergency department as verified emergency cases and deny payment for the procedures and services; which puts the hospitals and physicians to be responsible for the nonpayment risks (Dickman, Himmelstein, & Woolhandler, 2017)
Managed care assist in better patient outcomes and fights to balance quality of care with the
cost-efficiency, and it continues to evolve to meet the needs of private and government plan sponsors
as well as patient members. MCO’s provides cost savings for patients while delivering an integrated
financing system that includes preventative care and coordinated care for patients with chronic
Health care organizations continually face challenges from various regulatory and government agencies while also being bound by Managed Care Organization (MCO) standards. View the video located in the study materials entitled “College of Nursing and Health Care Professions: Do We Know What Our Future Is?” for insight into the challenges of health care reform. Based on the video, describe two key reform factors that you believe will need to be addressed by future health care workers or leaders and explain why. (Note: You can download slides from this video for ease of review in developing your forum response). Additionally, what role does adherence to MCO standards play in your future health care vision?
Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.
Why Work with Us
Top Quality and Well-Researched Papers
We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.
Professional and Experienced Academic Writers
We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.
Free Unlimited Revisions
If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.
24/7 Customer Support
Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.
Admission Essays & Business Writing Help
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.
Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.