NCQA is an accrediting entity as identified by the Department of Health and Human Services (HHS) for Qualified Health Plan. NCQA is a private, not-for-profit organization that focuses on accreditation, certification, and recognition of health plans and reports on the overall quality of managed care plans in the United States.
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Q15: According to CMS, there are three categories
Q16: _ combine a high deductible MA plan
Q17: A(n) _ is a group plan that
Q18: The _ are MA plans offered to
Q19: The IPA is comprised of an organized
Q20: A POS plan is the fastest growing
Q21: The PCP does not control access for
Q22: A Prior Authorization (PA) is also considered
Q23: The Case Manager helps the patient identify
Q24: In contract management, if a plan or
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