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Exam AHM-530 topic 1 question 14 discussion

Actual exam question from AHIP's AHM-530
Question #: 14
Topic #: 1
[All AHM-530 Questions]

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:

  • A. Health plans are required by law to report HEDIS results to NCQA
  • B. HEDIS restricts its reporting criteria to a narrow group of quantitative performance measures, while NCQA includes a broad range of qualitative performance measures
  • C. Private employer groups purchasing health care coverage increasingly require both NCQA accreditation and HEDIS reporting
  • D. HEDIS includes measures of a health plan's effectiveness of care rather than its cost of care
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Suggested Answer: C 🗳️
by gemazyni at April 5, 2025, 3:12 p.m.

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