Big picture in mind, NCQA gives plans a break.
Morrissey
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D003625:Data Collection; D006264:Health Benefit Plans, Employee / Q000592:standards*; D006279:Health Maintenance Organizations / Q000592:standards*; D009938:Organizations; D011787:Quality of Health Care / Q000145:classification*; D012015:Reference Standards; D015203:Reproducibility of Results; D014481:United States