Author Question: Explain the use of performance measures, such as HEDIS, by an MCO.[br][br][b][color=#347235]Question ... (Read 66 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?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

Today, nearly 8 out of 10 pregnant women living with HIV (about 1.1 million), receive antiretrovirals.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

Did you know?

The lipid bilayer is made of phospholipids. They are arranged in a double layer because one of their ends is attracted to water while the other is repelled by water.

For a complete list of videos, visit our video library