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What is the purpose of the validation of performance measures activity?

April 26, 2017activity measures PERFORMANCE purpose validation

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What is the purpose of the validation of performance measures activity?

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The purpose of the validation of performance measure activity is two-fold: First, the process ensures that the MCO/PIHP calculated the performance measures according to the state-required definitions or specifications, which allows MCO/PIHP performance to be compared with other MCOs/PIHPs. Secondly, the process ensures that the performance measure results that are reported by an MCO/PIHP are truly valid and accurate, and appropriately reflect the level of services provided by the MCO/PIHP.