The quality of medical care provided by managed-care plans isan increasingly complicated and controversial topic.1,2,3,4,5,6,7Traditionally, the quality of care has been measured by professionaljudgment, often rendered subjectively in individual cases.8 Now, as health care delivery and financing are being reorderedby the rapid growth of managed care, physicians and the healthplans with which they contract are being called to greater accountfor the quality of the services they provide. The scrutiny iscoming largely from corporations and governments, which areconcerned that as health plans compete, they may stint on servicesto reduce prices.9 In addition, . . . [Full Text of this Article]
Creation of the NCQA
The Move to Independence
Accreditation of Plans
Performance Measurement
The Attitudes of Large Employers
The Attitudes of Health Plans
The Complications of External Review
Other Accrediting Bodies
Conclusions
References
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