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Questions and Answers
Explain the value equation and provide examples of different items that may be included in the 'quality' part of the equation.
The value equation is VALUE = QUALITY/COST. Examples of different items that may be included in 'quality' are Credentialing, Delegation, Clinical oversight, and service oversight.
Which organization is responsible for the accreditation of health plans?
National Committee for Quality Assurance (NCQA)
What are the various components that go into setting a quality measurement?
Denominator, Numerator, Exclusions, Product lines
Why is the source of data important in quality measures?
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How does the data source change measures and rates in different organizations?
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