Which of the following is NOT included in the evaluation criteria for criteria-based contracting?

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Criteria-based contracting focuses on measurable metrics that can assess a healthcare provider's ability to meet specific standards for performance and quality. When considering the elements that must be included in the evaluation criteria for contractual agreements with healthcare providers, operational performance history, member volumes by product type, and historical reimbursement levels by product type are crucial components. These metrics offer insights into the efficiency and effectiveness of a practice, how many patients are being served, and how past reimbursement rates have performed.

The number of insurance plans offered, while relevant in a broader context of practice management and strategic planning, does not directly measure the performance or effectiveness of care delivery. Evaluation criteria are typically centered around benchmarks that can influence the quality of care provided and operational efficiency—attributes that the number of insurance plans does not capture. Therefore, this option stands out as it does not align with the intent to measure performance outcomes in criteria-based contracting.

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