Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs)
MN507-2: Analyze financial models of reimbursement and their effects on patients and health care providers.
For this assessment, you will distinguish between Managed Care Organizations (MCO) and Accountable Care Organizations (ACO). Your paper will include the following:
Provide a brief history of both the MCO and ACO.
Define the populations MCO and ACO are intended to serve.
Analyze your role in your specialized area of nursing practice when interfacing with an MCO and ACO clients/patients.
The word count for your paper, excluding the title and the references page, will be 800 words.
Assessment Requirements
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follow the conventions of Standard English (correct grammar, punctuation, etc.); be well ordered, logical, and unified, as well as original and insightful; display superior content, organization, style, and mechanics; and use 7th edition APA formatting and citation style.
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This assessment should be a Microsoft Word (minimum 800 words) document, in addition to the title and reference pages.
Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.
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Your writing should be well ordered, logical, and unified, as well as original and insightful.
Your submission must be written in Standard English and demonstrate exceptional content, organization, style, grammar and mechanics.
A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research.
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Analyze Financial Models of Reimbursement and their Effects on Patients and Health Care Providers
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Analyze Financial Models of Reimbursement and their Effects on Patients and Health Care Providers
Streamlining administration, dissemination, and payment processes for quality healthcare outcomes has remained a fundamental discourse in the United States. As a result, legislators and other stakeholders have gradually improved the healthcare system’s diverse aspects through legislation and policy guidelines. Kongstvedt (2020) indicates that various legislations, including Medicare and other earlier ones, have played a role in the structuring and continued maturity of the diverse reimbursement models in the nation. Trends reveal the continued desire for the United States to create a value-based payment system that prioritizes quality health outcomes and incentivizes healthcare providers appropriately to advance this objective. Such efforts gave rise to Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs) as two of the leading approaches that nurse professionals should understand their history, the populations they serve, and the impact on their practice.
MCO and ACO History
MCOs are the longest-existing healthcare payment systems in the United States, considering that the managed care concept first emerged in the 1930s. Kongstvedt (2020) describes MCOs as organized healthcare providers coordinating quality care delivery for their beneficiaries at affordable levels. Practitioners such as Dr. Michael Shadid and Dr. Sidney Garfield demonstrated the application of this approach