Which of the following statements best describes the significance ...

[nelaaney]

Which of the following statements best describes the significance of the Health Plan Effectiveness Data and Information Set (HEDIS)?
 
  a. Data are publicized so consumers can make informed decisions about where to go for care.
  b. Data are used to measure performance in the accreditation of managed care organizations (MCOs).
  c. Obvious improvement in the provision of health care has resulted from requiring health care providers to collect and analyze such data. d.
  Physicians and other health care providers can publicize the data to market their services to new clients.

Question 2

Which of the following was a major change after Medicare began a prescription drug benefit?
 
  a. Number of prescriptions ordered by physicians decreased
  b. Medications increased without affecting patient care outcomes
  c. U.S. expenditures on drugs approached the same level as that of other industrialized nations
  d. Use of drugs and their cost immediately increased

[Chelseyj.hasty]

Answer to Question 1

ANS: B
The National Committee for Quality Assurance accredits MCOs and uses HEDIS to measure performance and consumer satisfaction. Some outcome data are available to informed consumers on the Web, but the data are not widely available. To date, these efforts have not been successful to ensure quality care. Errors continue to be high and patients continue to be dissatisfied.

Answer to Question 2

ANS: D
As with other health care services, once a funding source has been established, usage and costs increase. Thus, the number of prescriptions ordered increased. For 2006, the United States expenditure for pharmaceuticals was 1.5 times that of other industrialized countries, and these expenditures continue to rise.

[nelaaney]

TY

[Chelseyj.hasty]

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