Explain the regulatory oversight structure of MCOs. What happens when there is a disagreement between local and federal regulation?

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Discussion
Managed Care Organizations (MCOs) are regulated at both the state and federal levels to ensure compliance with laws and regulations governing healthcare services. The regulatory oversight structure of MCOs involves multiple entities at different levels of government, including state and federal regulatory agencies. At the federal level, the Centers for Medicare and Medicaid Services (CMS) oversees MCOs that provide services to Medicare and Medicaid beneficiaries (National Association of Insurance Commissioners. 2019).

Explain the regulatory oversight structure of MCOs. What happens when there is a disagreement between local and federal regulation?

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