National quality monitoring of medicare health plans: The relationship between enrollees' reports and the quality of clinical care

Medical Care

Volumn 39, Issue 12, 2001, Pages 1313-1324

  Schneider, Eric C ^a,d   Zaslavsky, Alan M ^a   Landon, Bruce E ^a,b   Lied, Terry R ^c   Sheingold, Stephen ^c   Cleary, Paul D ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

^b BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^c CENTERS FOR MEDICARE AND MEDICAID SERVICES   (United States)

^d HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Managed care; Quality of Care; Medicare

Indexed keywords

AGED; ARTICLE; COHORT ANALYSIS; CONSUMER; EPIDEMIOLOGY; HEALTH CARE QUALITY; HEALTH INSURANCE; HUMAN; INFORMATION SERVICE; MEDICARE; STANDARD; STATISTICAL MODEL; UNITED STATES;

AGED; COHORT STUDIES; CONSUMER SATISFACTION; HEALTH BENEFIT PLANS, EMPLOYEE; HEALTH CARE SURVEYS; HUMANS; INFORMATION SERVICES; LINEAR MODELS; MANAGED CARE PROGRAMS; MEDICARE PART C; QUALITY ASSURANCE, HEALTH CARE; QUALITY INDICATORS, HEALTH CARE; UNITED STATES;

EID: 0035650641     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-200112000-00007     Document Type: Article

References (25)

1. Chassin MR, Galvin RW. The urgent need to improve health care quality. JAMA 1998;280:1000-1005.
2. Schuster MA, McGlynn EA, Brook RH. How good is the quality of health care in the United States? Milbank Q 1998;76:517-563.
3. Myers RE, Murray J, Weinberg D, et al. Analysis of colorectal cancer stage among HMO members targeted for screening. Arch Intern Med 1997;157:2001-2006.
4. Hellinger FJ. The effect of managed care on quality: a review of recent evidence. Arch Intern Med 1998;158:833-841.
5. Merenstein D, Rabinowitz H, Louis DZ. Health care plan decisions regarding preventive services. Arch Fam Med 1999;8:354-356.
6. Rosenbach ML, Gavin NI. Early and periodic screening, diagnosis, and treatment and managed care. Annu Rev Public Health 1998;19:507-525.
7. Epstein AM. Rolling down the runway: The challenges ahead for quality report cards. JAMA 1998;279:1691-1696.
8. National Committee for Quality Assurance. Quality Compass National Averages, 1997 and 1998 data; NCQA: Washington, DC; 1999.
9. Blustein L, Hoy EC. Who is enrolled in for-profit vs. nonprofit medicine HMOs? Health Aff 2000;19:210-220.
10. Himmelstein DU, Woolhandler S, Hellander I, et al. Quality of care in investor-owned vs not-for-profit HMOs. JAMA 1999;282:159-163.
11. Showstack J, Lurie N, Leatherman S, et al. Health of the public: the private-sector challenge. JAMA 1996;276:1071-1074.
12. Nelson L, Brown R, Gold M, et al. Access to care in Medicare HMOs, 1996. Health Aff 1997;16:148-156.
13. Phillips KA, Fernyak S, Potosky AL, et al. Use of preventive services by managed care enrollees: an updated perspective. Health Aff 2000;19:102-116.
14. Hays RD, Shaul JA, Williams VS, et al. Psychometric properties of the CAHPS 1.0 survey measures. Consumer Assessment of Health Plans Study. Med Care 1999;37:MS22-31.
15. McGee J, Kanouse DE, Sofaer S, et al. S. Making survey results easy to report to consumers: how reporting needs guided survey design in CAHPS. Consumer Assessment of Health Plans Study. Med Care 1999;37:MS32-40.
16. SAS/STAT User's Guide. Version 7-1, Volume 1. Cary, NC: SAS Institute; 1999.
17. Bindman A, Gold M. Measuring access to care through population-based surveys in a managed care environment. A special supplement to HSP 3; Part II ed. Washington, DC: Health Serv Res 1998:611-766.
18. Miller R, Luft H. Does managed care lead to better or worse quality of care? Health Aff 1997;16:7-25.
19. Williams SJ, Elder JP, Seidman RL, et al. Preventive services in a Medicare managed care environment. J Community Health 1997;22:417-434.
20. Miller R, Luft H. Managed care plan performance since 1980. JAMA 1994;271:1512-1519.
21. Gordon NP, Rundall TG, Parker L. Type of health care coverage and the likelihood of being screened for cancer. Med Care 1998;36:636-645.
22. Landon BE, Wilson IB, Cleary PD. A conceptual model of the effects of health care organizations on the quality of medical care. JAMA 1998;27:1377-1382.
23. Bindman AB, Grumbach K, Osmond D, et al. Primary care and receipt of preventive services. J Gen Intern Med 1996;11:269-276.
24. Zaslavsky AM, Beaulieu ND, Landon BE, et al. Dimensions of consumer-assessed quality of Medicare managed-care health plans. Med Care 2000;38:162-174.
25. Health Care Financing Administration. Medicare HEDIS 3.0. Data Audit Report. Baltimore, MD: 1998.