Practice Quiz

Managed Care Nursing

Category - Healthcare Management

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Select the option that is incorrect regarding NCQA health plan report cards.
  1. Data is reflected that includes provider clinical performance in comparison to peers
  2. Only provide private and marketplace health plan clinical performance ratings based on required quality measures and NCQA accreditation scores
  3. Provide results related to customer service and degree of satisfaction with improvement plans.
Explanation
Answer: B - The NCQA health plan report cards do not only provide private and marketplace health plan clinical performance ratings based on required quality measures and NCQA accreditation scores.

NCQA Health Plan Report Cards include private, Medicare, Medicaid and Marketplace health plan report cards. The information used is based on a combination of HEDIS, CAHPS and NCQA accreditation scores.
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