title: Beyond cost: 'responsible purchasing' of managed care by employers.
abstract: We explore the extent of "responsible purchasing" by employers--the degree to which employers collect and use nonfinancial information in selecting and managing employee health plans. Most firms believe that they have some responsibility for assessing the quality of the health plans they offer. Some pay attention to plan characteristics such as the ability to provide adequate access to providers and services and scores on enrollee satisfaction surveys. A more limited but still notable number of firms take specific actions based on responsible purchasing information. Because of countervailing pressures, however, it is not clear whether or not the firms most involved in responsible purchasing are signaling a developing trend.
authors.affiliation: Institute for Health Services Research and Policy Studies (IHSRPS), Northwestern University, Chicago, USA.
authors.forename: A T
authors.initials: AT
authors.lastname: Lo Sasso
authors.forename: L
authors.initials: L
authors.lastname: Perloff
authors.forename: J
authors.initials: J
authors.lastname: Schield
authors.forename: J J
authors.initials: JJ
authors.lastname: Murphy
authors.forename: J D
authors.initials: JD
authors.lastname: Mortimer
authors.forename: P P
authors.initials: PP
authors.lastname: Budetti
mesh_terms: D001294:Attitude to Health; D003132:Commerce / Q000458:organization & administration*; D017754:Group Purchasing / Q000458:organization & administration*; D006264:Health Benefit Plans, Employee / Q000458:organization & administration*; D006265:Health Care Coalitions; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D014481:United States