In what year did NCQA originally focus on reviewing PPO and HMO plans when it was founded in 1979?

In what year did NCQA originally focus on reviewing PPO and HMO plans when it was founded in 1979?

• A. Accreditation of hospital services
• B. Review PPO and HMO plans
• C. Develop HEDIS measures
• D. Fund medical research

Answer: (B)

The main idea is that NCQA’s earliest work was to ensure quality in managed care by evaluating health plans. When it formed, the organization focused on reviewing PPOs and HMOs to make sure they met standards for quality, access, and member care. This plan-review role established NCQA as a body that accredits and measures the performance of health plans. The development of HEDIS measures and broader accreditation areas came later as the organization expanded its scope. Funding medical research isn’t aligned with NCQA’s original mission.

The main idea is that NCQA’s earliest work was to ensure quality in managed care by evaluating health plans. When it formed, the organization focused on reviewing PPOs and HMOs to make sure they met standards for quality, access, and member care. This plan-review role established NCQA as a body that accredits and measures the performance of health plans. The development of HEDIS measures and broader accreditation areas came later as the organization expanded its scope. Funding medical research isn’t aligned with NCQA’s original mission.