« previous next »

Author Question: Explain the use of performance measures, such as HEDIS, by an MCO.[br][br][b][color=#347235]Question ... (Read 31 times)

panfilo

  • Hero Member
  • *****
  • Posts: 572
on: Jul 12, 2018
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
Reply #1 on: Jul 12, 2018
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
« previous next »
 

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Asthma cases in Americans are about 75% higher today than they were in 1980.

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?

Oliver Wendell Holmes is credited with introducing the words "anesthesia" and "anesthetic" into the English language in 1846.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Divorces are often messy. To settle the question of who gets the house, a couple in Cambodia sawed ... Divorces are often messy. To settle the question of who gets the house, a couple in Cambodia sawed ...
Performance Tasks on the Wechsler Tests Performance Tasks on the Wechsler Tests
Economics question Economics question
this is a math question this is a math question
economic question economic question
A three-gene additive model for wheat kernel color A three-gene additive model for wheat kernel color
Video: What are Taste Receptors? How Does it Work? Animation

For a complete list of videos, visit our video library