Medicare increases managed care's accountability, Part 1.
This year marks the beginning of Medicare's Quality Improvement System for Managed Care (QISMC), a tool that monitors the quality of care that managed health plans give their Medicare and Medicaid members. QISMC, which requires health plans to demonstrate improvements in the quality of care, will increase health plans' administrative costs without increasing capitation rates.
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Birch & Davis Health Management Corp., Silver Spring, Md., USA.
D006801:Humans; D008329:Managed Care Programs / Q000592:standards*; D006278:Medicare; D010043:Outcome and Process Assessment, Health Care; D017749:Total Quality Management / Q000458:organization & administration*; D014481:United States