Describe the basic components of quality and utilization


Assignment:

Managed Healthcare

Sources must be cited in APA format. Your response should be four (4) double-spaced pages; refer to the "Format Requirements" page for specific format requirements.

Part I

For each of the lessons you were presented with two required readings. Choose one required reading article from each lesson and summarize the article and explain its importance to understanding managed care.

Each summary should be a minimum of 250 words. Combine all summaries into one Word document.

Part II

Explain why the following course objectives are important to understanding managed care:

Describe the basic components of quality and utilization management, including structure, process, and outcome.

Identify and describe the basic structure of governance and management in payer organizations.

Understand the basic issues involved with Medicare Advantage and managed Medicaid plans.

Describe the basic structure of state and federal oversight of managed care organizations (MCOs).

You must Include at least 3 scholarly articles as a part of your response as well as a minimum word count of 750 words.

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