Medicare Increases Managed Careʼs Accountability, Part 1

This year marks the beginning of Medicareʼs Quality Improvement System for Managed Care (QISMC), a tool that monitors the quality of care that managed health plans give their Medicare and Medicaid members. QISMC, which requires health plans to demonstrate improvements in the quality of care, will in...

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Bibliographic Details
Published in:Nursing management 1999-01, Vol.30 (1), p.14-17
Main Author: GRIMALDI, PAUL L
Format: Article
Language:English
Subjects:
Accountability
Data collection
Health care industry
Humans
Mammography
Managed care
Managed Care Programs - standards
Medicaid
Medicare
Nursing
Outcome and Process Assessment (Health Care)
Quality control
Quality improvement
Quality of service
Quality standards
Regulation
Total Quality Management - organization & administration
United States
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Summary:This year marks the beginning of Medicareʼs Quality Improvement System for Managed Care (QISMC), a tool that monitors the quality of care that managed health plans give their Medicare and Medicaid members. QISMC, which requires health plans to demonstrate improvements in the quality of care, will increase health plansʼ administrative costs without increasing capitation rates
ISSN:0744-6314
1538-8670
DOI:10.1097/00006247-199901000-00006