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lukranit [14]
3 years ago
10

Describe the key pieces of recent legislation that impact an MCO

Health
1 answer:
GalinKa [24]3 years ago
3 0
1. Patient Protection and Affordable Care Act of 2010
This Act requires that Managed Care Organizations must provide higher level of care while reducing costs.

2. Clinical Laboratory Improvement Amendments of 1988 (CLIA)
This act requires all clinical laboratories, including those contracted for use by the Managed Care Organizations must have a certificate to operate; this would indicate that the laboratory meets the CLIA operational standards.

3. Insurance state regulations (for Managed Care Organizations that have commercial enrollees)
These laws requires that the Managed Care Organization must have the financially ability to operate as an insurance company.
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4 0
2 years ago
BRAINLIEST
mixer [17]

Answer:

the 1st one

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3 0
3 years ago
Sarah’s doctor recommends that she get an MRI to help diagnose the cause of her headaches. The doctor provides a list of MRI fac
Andrew [12]

This question is incomplete because the options are missing; here is the missing section:

Which is an indicator that a facility is a poor choice for Sarah?

A. The facility has new, state-of-the-art equipment.

B. The facility is recommended by her family doctor.

C. The facility has been operating for more than five years.

D. The facility accepts most health insurance policies but not Sarah's.

The correct answer is D. The facility accepts most health insurance policies but not Sarah's.

Explanation:

MRI or Magnetic Resonance Imaging is a type of scanning used in medicine as part of diagnosis as through MRI doctors can obtain images of organs and other structures of the body. In terms of access, this type of imaging requires an IMR scanner which might not be found in all facilities. Also, the cost for an MRI is usually high, due to this, most patients will need their health insurance to cover this. In this context, if the facility Sarah chooses does not accept Sarah's health insurance, this is a poor choice for her due to the high cost she will need to pay.

7 0
3 years ago
Read 2 more answers
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