What is influencing performance improvement in managed care?
Both consumers and providers alike are concerned about quality in the managed care environment. Performance improvement activities frequently focus on preventive health measures, provider access, and availability of service. What is the the driving force? The article provides an overview of external reporting requirements of purchasers of health care, accrediting bodies, and regulatory agencies that are influencing quality programs in managed care.
Parisi
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Mount Sinai Hospital Home Health Agency, New York, NY, USA.
D000068:Accreditation / Q000458:organization & administration; D003625:Data Collection / Q000592:standards; D006264:Health Benefit Plans, Employee / Q000592:standards; D006279:Health Maintenance Organizations / Q000592:standards; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D008329:Managed Care Programs / Q000592:standards*; D017063:Outcome Assessment, Health Care; D017749:Total Quality Management / Q000379:methods*; D014481:United States