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
Hauptverfasser: Silberman, P, James, K
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container_title Quality management in health care
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creator Silberman, P
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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.
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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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