Quality and Accreditation

 Part 1: To familiarize yourself with different health plan quality measures and ratings done by the National Committee for Quality Assurance (NCQA).INSTRUCTIONS (There are 5 questions in total, each worth 2 points.)Note: You may switch between screens to complete this assignment.  There is no time limit on this assignment.PART 1: National Committee for Quality Assurance (NCQA) Plan RankingsVisit

NCQA WebsiteLinks to an external site.

for the most recent health plan ratings (the last update was 9/15/2024.This website is hosted by an external party. In the event that the link should stop working, the Professor will provide students with an updated link (likely through a course Announcement). Use the filters on the left side of the NCQA rankings page to get the data you need to answer each question. For example, you may need to filter by “Plan Type” (Medicare, Commercial (Private), Exchange, or Medicaid] and/or by “States Served.”

1. Of private (commercial) plans in the State, how many plans received an overall score of 5.0?
2. Of Medicare plans in the State, how many plans received an overall score of 5.0?
3. Of Medicaid plans in the State, how many plans received an overall score of 5.0?

PART 2: Identifying Process and Outcome Measures Remember:Process measures indicate what administrative or procedural “actions” a provider or health plan does to maintain or improve patient health. Outcome measures reflect the impact of the healthcare service or intervention on the health status of patients. So, outcome measures evaluate the effectiveness or “outcomes” of a patient following the receipt of services, treatment, or procedures.Examples of both process and outcome measures are included in this chapter’s lecture.