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Posted: November 29th, 2022

Concepts of Managed Care

Concepts of Managed Care

Discussion Topic
In the United States, both federal and state laws can affect healthcare. Conventionally, states have regulated managed care organizations MCOs. However, MCOs are also subject to federal laws and regulations. “Broadly defined, health law includes the law of public health, health care generally, and medical care specifically.” (“Health Law: An Overview”, n.d.)

For this week’s DF, discuss the following:

Choose two (2) out of the five (5) major federal laws that you believe have had the most significant impact on MCOs.
How does each law chosen specifically affects MCOs? What are some of the consumer benefits associated with the laws selected? How does each particular law affect MCOs? What are some of the consumer advantages associated with the chosen laws?
How can a firm understanding of federal regulation with regard to healthcare assist you in your program of study and/or your future profession?
At least 175 words.

Health Law: An Overview. LII / Legal Information Institute. Retrieved 9 March 2018, from https://www.law.cornell.edu/wex/health

https://healthcare.uslegal.com/managed-care-and-hmos/the-hmo-act-of-1973/

https://www.medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/evidence-of-coverage

Course Materials :Required Textbooks:Kongstvedt, P., Health Insurance and Managed Care: What They Are and How TheyWork, 5th. Edition. Sudbury, MA: Jones and Bartlett.ISBN- 978-1-284-15209-8 or EBook-ISBN-978-1-284-09487-9

chapter 8

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