Following Statements Are About Accreditation of Health Plans

question 145

Multiple Choice

Following statements are about accreditation of health plans:

• A) The National Committee for Quality Assurance (NCQA) serves as the primary accrediting agency for most health maintenance organizations (HMOs).
• B) The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has developed standards that can be used for the accreditation of hospitals, but not for the accreditation of health plan provider networks or health plan plans.
• C) States are required to adopt the model standards developed by the National Association of Insurance Commissioners (NAIC), an organization of state insurance regulators that develops standards to promote uniformity in insurance regulations.
• D) Accreditation is an evaluative process in which a health plan undergoes an examination of its operating procedures to determine whether the procedures meet designated criteria as defined by the federal government or by the state governments.

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Definitions:

Zero-tolerance Stand

A policy that doesn't allow for any violation, no matter how minor, enforcing strict consequences.

Lackadaisical Attitude

A disinterested or sluggish attitude, showing little enthusiasm or diligence towards tasks or responsibilities.

Micromanaging Group Members

The practice of excessively controlling or overseeing every small detail of group members' work, often to the detriment of autonomy and motivation.

Riskier Options

Choices or decisions that carry a higher level of uncertainty and potential for negative outcomes, often considered in the context of investments, business strategies, or personal decisions.