Discuss AHIP AHM-530 Exam Topic 3 Question 4

The National Committee for Quality Assurance (NCQA) has integrated accreditation with Health Employer Data and Information Set (HEDIS) measures into a program called Accreditation '99. One statement that can correctly be made about these accreditation standards is that

AHealth plans are required by law to report HEDIS results to NCQA

BHEDIS restricts its reporting criteria to a narrow group of quantitative performance measures, while NCQA includes a broad range of qualitative performance measures

CPrivate employer groups purchasing health care coverage increasingly require both NCQA accreditation and HEDIS reporting

DHEDIS includes measures of a health plan's effectiveness of care rather than its cost of care

Suggested Answer: C

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9 comments · newest first

Lashawn 1 year ago

NCQA does cover a wider range than just HEDIS, for sure.

Pa 1 year ago

Wait, so they don’t have to report HEDIS results by law? That’s wild!

Aliza 1 year ago

Totally agree, private employers are definitely looking for NCQA and HEDIS.

Loreta 1 year ago

I thought HEDIS was mandatory for all health plans?

Lavonda 1 year ago

HEDIS is all about quality measures, not costs.

Elizabeth 1 year ago

This question is testing our knowledge of the EU's data protection framework and the responsibilities of different institutions. I'll need to carefully review the options and think about which one best matches the description in the question.

Noe 1 year ago

I'm a bit confused by this question. Is the key implication about incentives, customer satisfaction, sales, or recurring business? I'll have to read through the options again more closely.

Casie 1 year ago

This one seems pretty straightforward. I'm going to go with option A - CAS. That sounds like the most likely module to handle user data storage for the Fusioninsight Manager.

Brett 1 year ago

Hmm, I'm a bit unsure about this one. I need to make sure I understand the differences between users and groups, and how they can be nested. Let me think this through step-by-step.

AHIP AHM-530 Exam - Topic 3 Question 4 Discussion