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A Managed Care Organization (MCO) is a generic term used to refer to a managed care plan. The main purpose of an MCO is to provide the infrastructure for the delivery and administration of care within a managed care system. In other words, the MCO is an organization that arranges to deliver health care services without having to use insurance companies or third party administrators. One of the main goals is to provide quality care at reasonable prices. One tool used to do this is through a gatekeeper system. Gatekeeper is an informal, but widely used term that refers to a primary care physician (PCP) responsible for referrals or authorizations for non-emergency specialty care. The Gatekeeper is the provider of first contact. Gatekeeping refers to a method of coordinating and/or controlling utilization. This is a predominate feature of almost all HMOs.
Take a position on whether or not you agree with the notion that a person is forced to see a PCP before being referred to a specialist. Does this practice impede quality care? Can the delay in seeing a specialist cause greater harm to a patient?
Please provide references and a min of 250+ words.
Kant believed that there are moral absolutes that we can determine through reason alone and not by emotions.
What is a brand strategy, and how does brand equity relate to it? Explain branding strategies that marketers use to develop new brands and also give an example of each strategy as well.
Describe the physiological mechanisms of nicotine addiction.
An unpriced change order is issued. If the specific cost method of calculating an equitable adjustment is used, what would the contractor be compensated for?
How are the arts in your community supported by various agencies and citizens? Do you think there is enough or not enough support of the arts by these entities? Explain why or why not.
Explain: the relationship between homicide and (de)commodification. Why is the U.S. homicide rate higher than European countries? Be sure to include a discussion of use values and exchange values.
Explain how nutrient deficiencies impair a child's thinking or cause misbehavior?
What is the distinction between law and ethics and especially when it comes to public service?
Which of the following is TRUE? A - Water and electrolytes cannot move across cell membranes. B- Electrolytes freely move across cell membranes. C- Water freely moves across cell membranes D- Water and electrolytes move across the cell membranes only..
Describe two major international declarations which relate to the rights of all persons to live in an environment which is not harmful to humans. Describe the difference between sectoral and product pollution. In your response indicate how the 1982 C..
What does the statement It can be argued that this is one of the great examples of the Supreme Court allowing Societal interests to influence and shape its decision making mean?
Does the sequence support the language-learning model of either Chomsky or Skinner? Why or why not? [two references required]
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