Question

instructions: select the most appropriate response.
which of these reviews managed care plans and develops report cards to allow consumers to make informed decisions when selecting a plan?
a. hedis
b. the joint commission
c. ncqa
d. hcra

Explanation:

• HEDIS (Healthcare Effectiveness Data and Information Set): It is a widely - used set of performance measures in managed care. It helps in comparing the performance of different managed care plans. Health plans report HEDIS data, and this data is used to create report cards. These report cards provide consumers with information about the quality of care and service that different plans offer, enabling them to make informed decisions when selecting a plan.
• The Joint Commission: Primarily focuses on accrediting hospitals and other healthcare organizations based on compliance with its standards for patient safety and quality of care. It is not directly involved in creating report cards for consumer - driven plan selection in the same way as HEDIS.
• NCQA (National Committee for Quality Assurance): While it is also involved in quality assessment in healthcare (e.g., accrediting managed care organizations), its role is more about overall accreditation and oversight rather than specifically developing the detailed performance - based report cards (using HEDIS measures) for consumer plan selection.
• HCRA (not a commonly known entity in the context of managed care plan report cards for consumer selection in the same vein as HEDIS): There is no widespread recognition of HCRA having this specific function related to creating the type of report cards described for consumer - informed plan selection.

Answer:

A. HEDIS