The Following Statements Are About the Delegation of Network Management

question 32

Multiple Choice

The following statements are about the delegation of network management activities from a health plan to another party. Three of the statements are true and one statement is false. Select the answer choice containing the FALSE statement:

• A) The NCQA requires a health plan to conduct all delegation oversight functions rather than delegating the responsibility for oversight to another entity.
• B) Credentialing and UM activities are the most frequently delegated functions, whereas delegation is less common for quality management (QM) and preventive health services.
• C) One reason that a health plan may choose to delegate a function is because the health plan's staff seeks external expertise for the delegated activity.
• D) When the health plan delegates authority for a function, it transfers the power to conduct the function on a day-to-day basis, as well as the ultimate accountability for the function.

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Definitions:

Justice and Fairness

Concepts concerning moral rightness based on ethics, law, rationality, equity, and fairness in social, legal, and economic systems.

Trust

Confidence in or reliance on some quality or attribute of a person or thing, or the truth of a statement.

Leader

An individual who influences and guides others towards achieving a common goal, often possessing qualities such as charisma, vision, and the ability to motivate.

Coercive Behaviour

The use of force or intimidation to influence someone's actions or decisions.