Establishing regulatory principles to ensure quality of care in managed care organizations

6 minute read

Translating proposed regulatory changes into an easy-to-read format for your organization is often very tough. Having just finished a four-page executive summary on the Program of All-Inclusive Care for the Elderly (PACE) “plan of care,” it is clear that managed care organizations (MCOs) are facing many difficulties with increased regulatory oversight.[1] Understanding how to build a compliance program to fit a specific organization requires lots of time and resources. Delivering a high quality of care and meeting regulatory oversight goals without sacrificing either is a challenge that MCOs everywhere are anticipating. Examining a PACE organization’s recently proposed changes may put into perspective these difficulties and challenges.[2]

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