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International Journal for Quality in Health Care 16:7-8 (2004)
© International Society for Quality in Health Care and Oxford University Press 2004; all rights reserved

Editorial

Should health plans be accountable for clinical performance measures?

The first 10% of the full text of this article appears below.

The concept of managed care is pretty straightforward: maximize value of economic resources assembled to provide services for a population of patients. In addition to prudent management of financial capital, managed care companies need to develop networks of providers and coordinate benefits to facilitate effective and efficient health care for its enrollees. These tasks, in and of themselves, are not always guaranteed to run efficiently and effectively when a company opens up for new business. Clearly, some managed care companies may simply be more effective at structuring its programs than competitors.

Because managed care programs in the United States . . . [Full Text of this Article]

William E. Golden

University of Arkansas for Medical Science, Little Rock, AR, USA, Editorial Committee Member, The International Journal for Quality in Health Care


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