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QUESTION IMAGE

which of these is responsible for the health of a group of enrollees an…

Question

which of these is responsible for the health of a group of enrollees and can be a health plan, hospital, physician group, or health system?
a. managed care organization
b. network model hmo
c. case manager
d. triple option plan

Explanation:

Brief Explanations

Managed care organizations (MCOs) are entities that manage the health of a group of enrollees. They can be health plans, hospitals, physician groups, etc. A network model HMO (Health Maintenance Organization) is a type of MCO structure. A case manager coordinates care for an individual. A triple option plan is a type of insurance plan structure. The key here is that the managed care organization as a whole is responsible for the health of the enrollees and can take various forms like being a health plan, hospital - physician group etc.

Answer:

a. Managed care organization