Quality of care review: Recent experience in Arizona

The Arizona Health Care Cost Containment System (AHCCCS) is an HMO-oriented Medicaid demonstration project serving approximately 170,000 persons throughout the State of Arizona. To assure that its members are receiving high quality care and because of the potentially adverse incentives of capitation...

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Detalles Bibliográficos
Autores principales: Schaller, Donald F., Bostrom, Albert W., Rafferty, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1986
Materias:
Competition in a Changing Health Care Environment
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195080/
https://www.ncbi.nlm.nih.gov/pubmed/10311928
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author Schaller, Donald F.
Bostrom, Albert W.
Rafferty, John
author_facet Schaller, Donald F.
Bostrom, Albert W.
Rafferty, John
author_sort Schaller, Donald F.
collection PubMed
description The Arizona Health Care Cost Containment System (AHCCCS) is an HMO-oriented Medicaid demonstration project serving approximately 170,000 persons throughout the State of Arizona. To assure that its members are receiving high quality care and because of the potentially adverse incentives of capitation, AHCCCS places particular emphasis on quality-of-care review. A key component of that review is the development of annual, statewide medical audits. In this article, we describe the nature and organization of medical care delivery under AHCCCS, outline the evolution of the annual medical audits, describe the most recent of these audits, and present and discuss the results.
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spelling pubmed-41950802014-11-04 Quality of care review: Recent experience in Arizona Schaller, Donald F. Bostrom, Albert W. Rafferty, John Health Care Financ Rev Competition in a Changing Health Care Environment The Arizona Health Care Cost Containment System (AHCCCS) is an HMO-oriented Medicaid demonstration project serving approximately 170,000 persons throughout the State of Arizona. To assure that its members are receiving high quality care and because of the potentially adverse incentives of capitation, AHCCCS places particular emphasis on quality-of-care review. A key component of that review is the development of annual, statewide medical audits. In this article, we describe the nature and organization of medical care delivery under AHCCCS, outline the evolution of the annual medical audits, describe the most recent of these audits, and present and discuss the results. CENTERS for MEDICARE & MEDICAID SERVICES 1986-12 /pmc/articles/PMC4195080/ /pubmed/10311928 Text en
spellingShingle Competition in a Changing Health Care Environment
Schaller, Donald F.
Bostrom, Albert W.
Rafferty, John
Quality of care review: Recent experience in Arizona
title Quality of care review: Recent experience in Arizona
title_full Quality of care review: Recent experience in Arizona
title_fullStr Quality of care review: Recent experience in Arizona
title_full_unstemmed Quality of care review: Recent experience in Arizona
title_short Quality of care review: Recent experience in Arizona
title_sort quality of care review: recent experience in arizona
topic Competition in a Changing Health Care Environment
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195080/
https://www.ncbi.nlm.nih.gov/pubmed/10311928
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