Author Question: Explain the use of performance measures, such as HEDIS, by an MCO.[br][br][b][color=#347235]Question ... (Read 60 times)

panfilo

  • Hero Member
  • *****
  • Posts: 572
Explain the use of performance measures, such as HEDIS, by an MCO.

Question 2

What types of statistics are utilized by an MCO?



macagn

  • Sr. Member
  • ****
  • Posts: 345
Answer to Question 1

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.

Answer to Question 2

Per Member Per Month, Per Contract Per Month



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

Walt Disney helped combat malaria by making an animated film in 1943 called The Winged Scourge. This short film starred the seven dwarfs and taught children that mosquitos transmit malaria, which is a very bad disease. It advocated the killing of mosquitos to stop the disease.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

For a complete list of videos, visit our video library