title: Improving fairness in coverage decisions: performance expectations for quality improvement.
abstract: Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by those organizations involved in the design and administration of health benefits packages, such as purchasers, health plans, benefits consultants, and practitioner groups.
authors.affiliation: American Medical Association, USA.
authors.forename: Matthew K
authors.initials: MK
authors.lastname: Wynia
authors.forename: Deborah
authors.initials: D
authors.lastname: Cummins
authors.forename: David
authors.initials: D
authors.lastname: Fleming
authors.forename: Kari
authors.initials: K
authors.lastname: Karsjens
authors.forename: Amber
authors.initials: A
authors.lastname: Orr
authors.forename: James
authors.initials: J
authors.lastname: Sabin
authors.forename: Inger
authors.initials: I
authors.lastname: Saphire-Bernstein
authors.forename: Renee
authors.initials: R
authors.lastname: Witlen
mesh_terms: D026683:Advisory Committees; D001675:Bioethics; D003362:Cost-Benefit Analysis; D004645:Empathy; D006302:Health Services Research; D006801:Humans; D007342:Insurance Benefits / Q000191:economics / Q000941:ethics*; D019458:Insurance Coverage / Q000191:economics / Q000941:ethics*; D007348:Insurance, Health / Q000191:economics / Q000941:ethics*; D011785:Quality Assurance, Health Care; D012107:Research Design; D012935:Social Justice; D017749:Total Quality Management; D014481:United States