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New performance measures will yield comparative data on HMOs

Article Abstract:

The National Committee for Quality Assurance has helped devise the Health Plan Employer Data and Information Set, which is composed of 60 data reporting standards to help employers judge managed care plans. The standards cover quality of care, access and utilization of services, financial condition and consumer satisfaction. Many health plan purchasers have been seeking uniform standards by which to judge and compare different plans, and experts believe that such measurement will make the plans more accountable to the purchasers.

Author: Cerne, Frank
Publisher: Health Forum
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1993
Standards, Managed care plans (Medical care), National Committee for Quality Assurance

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Cash kings

Article Abstract:

Critics of managed care companies are concerned because nine of the largest health maintenance organizations (HMOs) in the US have combined cash reserves and marketable securities that amount to $9.5 billion. Some observers say that the health care industry should not make as much profit as other types of industries, while other believe that HMOs will eventually suffer from market forces. HMOs began amassing wealth in the 1980s when they were able to offer lower premiums than insurance companies.

Author: Cerne, Frank
Publisher: Health Forum
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1995
Health Maintenance Organizations, HMO Medical Centers, Economic aspects, Finance, Health care industry

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