wk5 discussion board-healthcare resondence

Please comment on the 2 statements and cite within text. Also keep the comments numbered and 1 paragraph each.
1.
I think by performing and posting these evaluations the consumer is being serviced. As a consumer while seeking health care plans you should be cautious of what you’re buying into or being covered by, just in case a service you need is not covered. On the NCQA website you’re able to locate your insurance coverage and see whether it falls under Medicare or Medicaid. Are they HMO, PPO, or combined? What is the insurance coverage overall accreditation status? For instance, I have Cigna Health Plan from my husband company. On the site I’m able to tell that it is Medicare, combined POS/HMO, and an accredited coverage. Maybe the changes in how the NCQA’s accreditation has changed, making it hard to gain commendable or excellent accreditation status.
I believe it would be fair to post the worst health plans as well so that the people are able to be made aware of what their getting, what will be their out of pocket and what kind of service should be expected. As well as other institute can see what works and doesn’t work and implement a plan that can be put into place and carried out to cut some of the health care cost while services needed are provided.
2.
As I explore the NCQA website, NCQA produces the state of Health Care Quality Report year to focus on major quality issues the U .S. faces and to support the spread of evidence – based care. This report documents performance trends over time, tracks variation in care and recommends quality improvements.
The state of Health Care Quality report 2015 synthesizes data collected throughout 2014 by NCQA’s Healthcare Effectiveness Data and information Set [HEIDS], health care’s most widely used performance improvement tool. The report summarizes the quality and consumer satisfaction results of health plans covering more than 171 million people, or 54 percent of the U.S. population.
Accreditation Programs: NCQA Accreditation helps organizations win business, meet regulatory requirements and distinguish themselves from the competition. Accreditation Supports to quality improvements and value.
HEIDS AND PERFORMANCE MEASUREMENT: The Health care Effectiveness Data and information Set [HEIDS] is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. Altogether,HEIDS consists of 81 measures across 5 domains of care. Because so many plans collect HEIDS data, and because the measures are so specifically defined, HEIDS makes it possible to compare the performance of health plans on an ‘ apples -to – apples ‘basis.

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