Managed care regulations: impact on quality?
Over the last decade, the general public and providers have become increasingly concerned about the quality of care provided by managed care organizations. This article focuses on state and federal legislative proposals to protect quality, and the potential tradeoffs involved with increased regulato...
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Veröffentlicht in: | Quality management in health care 2000, Vol.8 (2), p.21-39 |
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description | Over the last decade, the general public and providers have become increasingly concerned about the quality of care provided by managed care organizations. This article focuses on state and federal legislative proposals to protect quality, and the potential tradeoffs involved with increased regulatory oversight of managed care proposals. In enacting managed care legislation, policy makers should balance the costs potential with the extent to which proposed policies will protect consumers from harm, enhance the operation of the market, or affect quality of care, access to services or choice of providers. |
doi_str_mv | 10.1097/00019514-200008020-00004 |
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subjects | Accreditation Beneficiaries Consumers Continuity of Patient Care - organization & administration Customer satisfaction Employers Enforcement Federal employees Female Health administration Health care expenditures Health care policy Health Care Reform Health insurance Health services Humans Insurance coverage Legislation Male Managed Care Programs - legislation & jurisprudence Managed Care Programs - organization & administration Medicaid Medicare Outcome Assessment (Health Care) Patient Satisfaction Policy Making Quality Assurance, Health Care - organization & administration Quality control Referral and Consultation - organization & administration Regulation Reporting requirements State employees United States Utilization review |
title | Managed care regulations: impact on quality? |
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