Describe information systems functionalities in claims management and member services maintained by Managed Care Organizations (MCOs).

Question 1
Describe the sales process in the employer-sponsored model.
Compare the differences between rating and underwriting.
Discuss the influence of the Patient Protection and Affordable Care Act on ONE of the four areas: (a) marketing, (b) sales, (c) rating, and (d) underwriting.

Question 2
Describe information systems functionalities in claims management and member services maintained by Managed Care Organizations (MCOs).
Identify the significance of information systems in maintaining provider network operated by MCOs.
Discuss the changes in information systems to support consumerism that can be recognized in MCOs.