Managed Care Organization (MCO) -Contracts Review

Order Managed Care Organization (MCO) -Contracts Review essay paper help

Managed Care Organization (MCO) -Contracts Review essay assignment

I am working on a group project with my team and I am responsible for only the following portion and need help in writing it:

• Supported by scholarly literature, conduct a one (1) page analysis of the ACA and its future implications on managed care organizations (in particularly in reference to reimbursement)

Please review the directions below. The analysis should be 1 page single spaced with APA citations/references

Order and get your assignment on Managed Care Organization (MCO) -Contracts Review done by our best nursing writers

“Contracts Review”

You are the new CFO, of XYZ Medical Center, a 120 multi-skilled level three (3) healthcare facility. You have summoned a team of healthcare and business experts to assist with the process of contract negotiating. Based on the federal mandate of the Affordable Care Act (ACA), prepare a proposal summarizing the team’s final recommendations in preparation for an upcoming meeting.

Devise a proposal that address the following:

• Present a four to five (4-5) page proposal recommending the team’s final decision based on the review of National Committee on Quality Assurance (NCQA), 2016-2017 health insurance plans rating that can be located directly at http://healthinsuranceratings.ncqa.org/2016/Default.aspx. The proposal must identify the following

• • Supported by scholarly literature, conduct a one (1) page analysis of the ACA and its future implications on managed care organizations (in particularly in reference to reimbursement)
  • Create a one (1) page checklist that will be utilized as a tool to review managed care contracts presented to the organization.
  • A one year (1) financial analysis as a predictive measure/tool projecting the financial performance based on the adoption of the selected health plan and reimbursement model [based on fictitious data and figures]
  • Identify at minimum three (3) involved parties the team recommends as a contributing player in the review of all managed care contracts under consideration. Briefly support your reasoning for each recommended person to participate in the review.
  • Share the team’s final review of the contract, XYZ Medical Center has received for consideration. In addition, provide a final recommendation as to the selection of the primary managed care organization. In addition, discuss whether the contract should or should not be accepted, and the logic for the recommendation.