Explain the use of performance measures, such as HEDIS, by an MCO
HEDIS allows employers to compare health plans, understand the value of what their health care premium is purchasing, and hold the health plan accountable for performance against these measures. HEDIS measures areas such as effectiveness of care, access/availability of care, satisfaction with experience of care, use of services, cost of care, and health plan stability. Using a performance measure allows MCOs to benchmark against other MCOs.
You might also like to view...
Considered one of the leading causes of death in the United States for both men and women, at least two people per ________ in the United States experience coronary artery disease (CAD)-related events, according to the American Heart Association
a. minute b. hour c. day d. week
You are on the scene of a 3-year-old patient who is in respiratory distress. The mother states that the patient has been making a barking cough for the past 24 hours. The child is very scared and upset. He is crying inconsolably. The patient has tachypnea, but his vital signs are normal otherwise. He is leaning forward in the tripod position and is drooling profusely. What condition do you
suspect? A) Croup B) Child abuse C) Strep throat D) Epiglottitis
Most malignancies of the hematopoietic system are an:
a. Inherited autosomal disease b. Acquired infectious disease c. Inherited X-linked disease d. Acquired genetic disease
Cell dysfunction in the myelodysplastic syndromes may be present in:
a. Red cells b. Granulocytes c. Platelets d. All of the above