The CQI approach of producing health care "report cards," specifically HEDIS is a tool to encourage health care consumers to choose high-quality caregivers, but often.

Question

Options

• Athese report cards are inaccurate
• Bcost, not quality is the driving motivator for employers to choose health care plans for their
• CHEDIS includes only a limited number of quality performance indicators
• DNone of the above

• B
  85% (17)
• C
  10% (2)
• D
  5% (1)

Explanation

Option B is correct because HEDIS report cards were designed to empower consumers to select high-quality health plans, but this goal is undermined when the actual decision-makers - employers purchasing group health coverage - prioritize premium costs over quality scores. Employers, not individual patients, typically select which health plans to offer employees, and budget constraints dominate that choice.

Why the distractors fail:

• A is wrong - HEDIS is a standardized, audited tool developed by NCQA and is widely regarded as reliable, not inaccurate.
• C is wrong - HEDIS actually covers a broad range of indicators across prevention, chronic disease management, behavioral health, and more, so "limited indicators" is not the primary criticism.
• D is wrong - because B is clearly correct.

Memory tip: Think of the acronym "C over Q" - Cost over Quality. Even the best quality report card loses its power when the checkbook makes the decision. Employers act as gatekeepers between HEDIS data and the employees it's meant to serve.

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