HMO quality and financial performance: is there a connection?
Following the continuing expansion of managed care is a growing public interest in the quality of care provided by managed care organizations. Public and private organizations are actively developing systems for measuring and monitoring quality of care with the intention of holding plans more accountable for quality improvements and encouraging health care consumers to make responsible choices. This article examines correlations between a prevention-based quality measure and other commonly used measures of differentiating health plans, including financial performance and profit status. The findings are instructive in efforts to develop a quality measurement system that incorporates a variety of measures of plan performance.
Born
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Department of Finance, Insurance, Real Estate, and Health Systems, University of Connecticut, Storrs, USA.
Geckler
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C
D005376:Financial Management; D005102:Health Expenditures; D006279:Health Maintenance Organizations / Q000191:economics* / Q000458:organization & administration / Q000592:standards*; D006302:Health Services Research; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D009819:Office Visits; D010820:Physicians / Q000706:statistics & numerical data; D011314:Preventive Health Services / Q000191:economics; D011787:Quality of Health Care; D014481:United States