Measurement and Management of Quality in Managed Care Organizations: Alive and Improving
Leatherman et al, Schlackman, and McGuirk-Porell et al all provide important examples of how managed care organizations (MCOs) will measure quality in this decade (except for health care status, which none have yet incorporated). All three organizations rely on insurance claims as a data source and...
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| Veröffentlicht in: | QRB - Quality Review Bulletin 1991-11, Vol.17 (11), p.343-348 |
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| container_title | QRB - Quality Review Bulletin |
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| creator | Goldfield, Norbert G. |
| description | Leatherman et al, Schlackman, and McGuirk-Porell et al all provide important examples of how managed care organizations (MCOs) will measure quality in this decade (except for health care status, which none have yet incorporated). All three organizations rely on insurance claims as a data source and quality management as a tool for improving quality; United Health Care and US Health-care use claims data to improve care for the entire membership, a still unrealized potential for MCOs. All three programs, relatively new, can be only minimally evaluated in terms of measurement validity, cost-efficiency, and improvement in the quality of care. The impact of such MCOs depends on policy initiatives, improvements in outcome and process measures, and MCOs' commitment to serve the total population, including the uninsured and Medicaid populations. |
| doi_str_mv | 10.1016/S0097-5990(16)30484-5 |
| format | Article |
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| fulltext | fulltext |
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| ispartof | QRB - Quality Review Bulletin, 1991-11, Vol.17 (11), p.343-348 |
| issn | 0097-5990 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Health Services Research - methods Humans Insurance Claim Review Managed Care Programs - organization & administration Managed Care Programs - standards Management Quality Circles Practice Patterns, Physicians Quality Assurance, Health Care - standards Reimbursement Mechanisms Risk Management United States |
| title | Measurement and Management of Quality in Managed Care Organizations: Alive and Improving |
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