Commission for Case Manager Certification (CCMC) Practice Exam

The Balanced Budget Act is the correct answer because it specifically includes provisions that govern Medicare Advantage organizations. This Act was enacted in 1997 and laid the groundwork for significant reforms in how Medicare services are administered, enabling the Centers for Medicare & Medicaid Services (CMS) to establish oversight mechanisms for Medicare Advantage plans. It provided CMS the authority to set regulations and ensure these organizations comply with federal standards, making it crucial for the management and oversight of Medicare Advantage services. In contrast, while the Affordable Care Act and the Patient Protection and Affordable Care Act have had a substantial impact on health care reforms, they primarily focus on expanding healthcare coverage and improving the quality of care rather than directly overseeing Medicare Advantage plan compliance. The Health Insurance Portability and Accountability Act mainly addresses privacy and security regarding health information rather than compliance oversight of Medicare Advantage organizations. Thus, the Balanced Budget Act stands out as the legislation specifically tasked with this oversight function.