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Health Plans - General Information

Managed Care Performance Measures

Performance measurement is a 'tool' that can provide valuable information that may help consumers, purchasers, health plans, and providers to make better decisions and, in addition, could lead to improvements in the quality of health care and the quality of service. These benefits, if obtained, would result in better outcomes in our health care system. The data requirements and the analysis and reporting associated with performance measurement, however, are extensive, burdensome, and costly. Justification of a comprehensive performance measurement system would require that the benefits being obtained warrant the necessary costs of the system. Although there has been a dramatic increase in the requirements for data collection and analyses of performance, it is unclear that the data being reported are being used effectively by the intended audiences.


Downloads

Special Open Door Forum: Medicare Advantage PPO and HEDIS Quality Performance Measurement - 12/10/2004 (Materials for Discussion) (Zipped doc, 9K)

Research on Plan Performance Indicators ( Zipped rtf, 9kb)
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