Go to the following website: https://www.ncqa.org/hedis/measures/ (Links to an external site.) Expand each of the 5 HEDIS measurement types to reveal the individual measures. Answer the following question: Imagine you work for a healthcare insurance company and you have noticed a concerning trend over the past 2 – 3 years. You are seeing your overall claims costs increasing for your adult population (greater than 18 years of age) and when you drilled down into your data, you discover the following: 1. Much of the increase is due to patients who are diagnosed with diabetes. 2. Many of the diabetics have more than one chronic condition (comorbidities). 3. Most of the diabetics are on at least one medication to manage their diabetes. 4. Much of the cost increase is due to Emergency Department visits and inpatient stays incurred by your diabetic members. Question: Knowing the above information, select and list out the HEDIS measures that may be useful in helping you manage your diabetic population better, thus ensuring they are receiving high-quality and effective care.List the appropriate measures and provide a short reason why you selected each one.
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