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 […]