Health plans bear down on quality, HEDIS scores improve dramatically.
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چکیده
HEDIS Scores Improve Dramatically In past years, the National Committee for Quality Assurance has used the annual release of its “State of Managed Care Quality”report to goad health plans into better HEDIS performance. Plans that do well are stroked; minimal improvement is called not good enough; and those that do not participate in HEDIS, that are not accredited by NCQA, or that do not report their HEDIS data publicly are excoriated. But this year, NCQA abandoned the bully pulpit in favor of praising the HMO industry as a quality-improvement success story to be told. Here’s part of that story.
منابع مشابه
Relationship between low quality-of-care scores and HMOs' subsequent public disclosure of quality-of-care scores.
CONTEXT Public disclosure of quality data on health maintenance organizations (HMOs) might improve public accountability, inform consumer decision making, and promote quality improvement. But, because disclosure is voluntary, some HMOs could subvert these objectives by refusing to release unfavorable data. OBJECTIVE To determine the association between HMO quality of care and withdrawal from ...
متن کاملThe contribution of health plans and provider organizations to variations in measured plan quality.
OBJECTIVE Some argue that health plans have minimal impacts on quality of care and that quality data collection should focus only on physician organizations. We investigate the relative impact of physician organizations and health plans on quality measures. DESIGN Statistical analysis of data on 9 Healthcare Effectiveness Data and Information Set (HEDIS) measures from 6 health plans and 159 p...
متن کاملDo health plans influence quality of care?
OBJECTIVE To investigate the relative impact of physician groups and health plans on quality of care measures. DESIGN Secondary data analysis of receipt of preventive care services included in the Health Plan Employer Data and Information Set (HEDIS) among 10 758 patients representing 21 health maintenance organizations and 22 large provider groups in the San Francisco and Los Angeles, Califo...
متن کاملuality of care in for-profit and not-for-profit health lans enrolling Medicare beneficiaries
BACKGROUND: For-profit health plans now enroll the majority of Medicare beneficiaries who select managed care. Prior research has produced conflicting results about whether for-profit health plans provide lower quality of care. OBJECTIVE: The objective was to compare the quality of care delivered by for-profit and not-for-profit health plans using Medicare Health Plan Employer Data and Informat...
متن کاملQuality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries.
BACKGROUND For-profit health plans now enroll the majority of Medicare beneficiaries who select managed care. Prior research has produced conflicting results about whether for-profit health plans provide lower quality of care. OBJECTIVE The objective was to compare the quality of care delivered by for-profit and not-for-profit health plans using Medicare Health Plan Employer Data and Informat...
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ورودعنوان ژورنال:
- Managed care
دوره 10 10 شماره
صفحات -
تاریخ انتشار 2001