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Previous Volume 336:443-444 February 6, 1997 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the United States, an increasing number of Medicare and Medicaid patients are enrolling in managed-care organizations, either voluntarily or because of state Medicaid reforms. Data on the use of health care by these patients and on outcomes should be collected and evaluated continuously. Previously, large state and federal data bases facilitated the tracking of use of services, outcomes, and costs among these patients. Currently, managed-care organizations maintain information on patients, but it may not be reported consistently by the various plans.

The system with which the Health Care Financing Administration (HCFA) follows Medicare transactions is being . . . [Full Text of this Article]

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