The Azure Health Plan strives to ensure for its plan members the best possible level of care from its providers. In order to maintain such high standards, Azure uses a variety of quantitative and qualitative (behavioral) measures to determine the effectiveness of its providers. Azure then compares the clinical and operational practices of its providers with those of other providers outside the network, with the goal of identifying and implementing the practices that lead to the best outcomes. The comparative method of evaluation that Azure uses to identify and implement the practices that lead to the best outcomes is known as
A) Case mix analysis
B) Outcomes research
C) Benchmarking
D) Provider profiling

Question

Quizplus · Accepted Answer

This is the comparative method of evaluation that Azure uses to identify and implement the practices that lead to the best outcomes. Benchmarking involves comparing the processes and outcomes of providers within a network to those of other providers outside the network in order to identify best practices.

The Azure Health Plan Strives to Ensure for Its Plan