Describe the basic components of quality and utilization


Homework: Managed Healthcare

Length: 4 pages.

Part A

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 B

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

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

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

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

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

Format your homework according to the following formatting requirements:

(1) The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.

(2) The response also includes a cover page containing the title of the homework, the student's name, the course title, and the date. The cover page is not included in the required page length.

(3) Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.

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