What types of steps can managed health care plans take to improve their ability to detect fraud?

Based on Chapter 19: Health Care Fraud and Abuse
What types of steps can managed health care plans take to improve their ability to detect fraud?10
Based on Chapter 20: Member Services
Describe the legal and regulatory milieu affecting member services, and provide hypothetical descriptions of different scenarios to illustrate those effects.15
Based on Chapter 23: Information Systems and Electronic Data Interchange in Managed Health Care
Describe and discuss a data warehouse and its key attributes.10
Based on Chapter 24: Health Plans and Medicare
Discuss the approaches CMS uses to monitor plan performance, as well as how CMS uses this data to address any performance issues.15
Based on Chapter 25: Medicaid Managed Health Care
Why has the extension of Medicaid managed care to “special need populations” been so slow and why is it now becoming a more prominent priority?5
What factors are contributing to greater reliance in the future on managed care models in state Medicaid programs?5
Based on β€œThe Rise and Fall of Medicaid Managed Care in Mississippi: Lessons for Public Health Policy Makers,” what caused the demise of the program and what lessons can be learned for policy makers20
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