The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 In 500-750 words, post in your assigned group your response to the prompt. In your initial post, refer at least one article related to your entry from a reputable newspaper (can be online) or other media source that is current within one month and post the link. You must have at least two references in your initial posting, and the media source can be one of the two. An easy way to find current articles on health policy is through Kaiser Health News. 

Question :  Briefly describe the workforce and system challenges of care coordination and team-based care across the continuum (quality and cost) and identify the two best tactics that clinically integrated networks can use to achieve significant quality improvement. 

What is your opinion of this course? Did it meet your expectations? What suggestions can you offer for improvement of this course for future students?

: The geriatric population is known to require an increased amount of healthcare attention given the age-related changes that can occur over time. Drug therapies must be adjusted for weight body fat, laboratory results that can include creatinine, liver enzymes, or existing health conditions or disorders. Discuss why changes in pharmacokinetic and pharmacodynamics properties in an elderly patient must be taken into consideration when it comes to the initiation of drug therapies. 

Module 06 Course Project – Final Submission 

• Clinical staff members are not washing their hands between patients.
• Employee attacks patients while under the influences of narcotics.

It’s time to put your two compliance plans all together into one report. Be sure to implement your instructor feedback and proofread all your work one last time. In addition, check the requirements in the original assignment.

Be sure to write a summary statement and insert it at the end of the project before the References Page. (See the outline below.) In your summary statement, describe your own journey in working on this project. Explain how this project has strengthened your understanding of compliance rules and regulations.

Your final plan should include the following. Note the overview at the beginning and the summary statement at the end. Remember to check details to insure that your plans will be understood by all employees at a large medical facility where you are the Compliance Officer.

• Cover Page
• Overview of Compliance
• First Compliance Plan
  • Policies
  • Procedures
  • Monitoring Tools
• Second Compliance Plan
  • Policies
  • Procedures
  • Monitoring Tools
• Summary Statement
  • How this project has strengthened your understanding of compliance rules and regulations.
• References Page
  • At least twelve research references for both compliance plans.

Onychomycosis is an illness brought on by fungus which impacts the fingernails, primarily those of the foot. Although can easily infect other nails on a single foot after a while, the disease generally begins on among the huge toes. It’s typical for individuals who have onychomycosis to possess athlete ‘s feet in exactly the same period, and that is created by fungi, but which will in this instance would just impact the skin. It’s a typical illness which can impact between four % along with eighteen % of the public. The prevalence increases of its with age, and additionally, there are much more situations in certain particular groups, like professional athletes, diabetics or ranchers. Individuals see the disease whenever they recognize changes in nail color or even design (Tchernev, et all, 2013). As it’s not a condition which leads to great first pain, individuals with it don’t find out the doctor of theirs shortly, and that helps make the disease fully invade the nail and allow it to be much more hard to resolve. Most commonly, onychomycosis is left as an aesthetic modification of the nail, but often it makes persistent pain of hard fix. Thus, it’s ideal to identify the infection quickly and handle it. There are many treatment options nowadays, though oral antifungal medicines remain the primary choice for dealing with onychomycosis.

Fluconazole is used-to cure fungal infections, which includes yeast infections of the vagina, mouth, throat, esophagus (the tube which runs out of the mouth on the stomach), the abdomen (the region in between the chest as well as waist), the lungs, other organs and blood. Fluconazole is likewise used-to cure meningitis (infection of the membranes lining the mind along with spine) brought on by fungi. Fluconazole is likewise used-to stop yeast infections in-patients that are prone to be infected since they’re receiving treatment with chemotherapy or maybe radiation treatment prior to a bone marrow transplant (replacement of diseased spongy tissue in the bones with good tissue) (Tchernev, et all, 2013). Fluconazole is owned by a category of antifungals called triazoles. It really works by reducing the development of the fungi that create the infections. Fluconazole is provided in capsules and in a suspension (liquid) for dental use. It’s normally taken with or perhaps with no food, after one day. You might have to go for one serving of fluconazole, or maybe you might have to get fluconazole for many months or even other things. The length of treatment will depend on the condition of yours and just how healthy you react to fluconazole. Stick to the directions on the recommended medicine intelligently, and get your pharmacist or doctor to explain something you do not realize. Take fluconazole as instructed. Don’t increase or even reduce the serving, and go more frequently compared to the doctor of yours has told you. Fluconazole is often also used-to cure severe fungal infections, and they start in the lungs and also could spread throughout the entire body, and fungal infections of the eyes, nails and skin (Tchernev, et all, 2013). Fluconazole is often also used-to stop fungal infections in people that tend to be more apt to be infected since they’ve human immunodeficiency virus (HIV) or maybe cancer or maybe have had a procedure procedure (surgery to take out an organ and change it with a donor organ or even an artificial organ). Talk to the doctor of yours about the possible risks of running this particular medication to deal with the condition of yours.

I  will prescribed: 

NAME: Pedro Jimenes DATE: 2/5/2020

ADDRESS: 3481 SW 9 ST, Miami Fl DOB: 9/5/72

Dispense: Fluconazole 300 mg orally once a week 3 to 6 months

Refill: 0

SIGNATURE OF PRESCRIBING PRACTITIONER: Alicia Perez, ARNP 

I need a response to this study case. Post supported by peer-reviewed references, and in APA 6th ed format.