Watchdog on a short chain. How good are PPS's quality-of-care reviewers?
The oversight process for Medicare's Prospective Payment System has overlooked many of its most serious problems. Last year, public pressure finally compelled the Health Care Finance Administration and Congress to take remedial action. In this final installment of her three-part series on the impact of the Prospective Payment System, Rhonda Kotelchuck examines both the past failures of Medicare review and the new corrective measures, which will require continued public vigilance if quality of care is to be protected under Medicare.
D000368:Aged; D014487:Centers for Medicare and Medicaid Services, U.S.; D006801:Humans; D006278:Medicare; D011366:Professional Review Organizations / Q000592:standards*; D011785:Quality Assurance, Health Care; D014481:United States; D014483:United States Dept. of Health and Human Services; D014600:Utilization Review