메뉴 건너뛰기




Volumn 14, Issue 6, 2008, Pages 377-386

Quality monitoring and management in commercial health plans

Author keywords

[No Author keywords available]

Indexed keywords

CHOLESTEROL;

EID: 46449094366     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article
Times cited : (15)

References (31)
  • 1
    • 0029123466 scopus 로고
    • Managed care and capitation in California: How do physicians at financial risk control their own utilization?
    • Kerr E, Mittman B, Hays R, Siu A, Leake B, Brook R. Managed care and capitation in California: how do physicians at financial risk control their own utilization? Ann Intern Med. 1995;123(7):500-504.
    • (1995) Ann Intern Med , vol.123 , Issue.7 , pp. 500-504
    • Kerr, E.1    Mittman, B.2    Hays, R.3    Siu, A.4    Leake, B.5    Brook, R.6
  • 2
    • 0026813268 scopus 로고
    • Contractual arrangements between HMOs and primary care physicians: Three-tiered HMOs and risk pools
    • Hillman A, Welch W, Pauly M. Contractual arrangements between HMOs and primary care physicians: three-tiered HMOs and risk pools. Med Care Res Rev. 1992;30(2):136-148.
    • (1992) Med Care Res Rev , vol.30 , Issue.2 , pp. 136-148
    • Hillman, A.1    Welch, W.2    Pauly, M.3
  • 3
    • 0029561122 scopus 로고
    • A national survey of the arrangements managed-care plans make with physicians
    • Gold M, Hurley R, Lake T, Ensor T, Berenson R. A national survey of the arrangements managed-care plans make with physicians. N Engl J Med. 1995;333(25):1678-1683.
    • (1995) N Engl J Med , vol.333 , Issue.25 , pp. 1678-1683
    • Gold, M.1    Hurley, R.2    Lake, T.3    Ensor, T.4    Berenson, R.5
  • 5
    • 0022619127 scopus 로고
    • Capitation and conflict of interest
    • Berenson R. Capitation and conflict of interest. Health Aff (Millwood). 1986;5(1):141-146.
    • (1986) Health Aff (Millwood) , vol.5 , Issue.1 , pp. 141-146
    • Berenson, R.1
  • 8
    • 40449101167 scopus 로고    scopus 로고
    • National Committee for Quality Assurance NCQA, Washington, DC: NCQA;
    • National Committee for Quality Assurance (NCQA). Quality Compass. Washington, DC: NCQA; 2003.
    • (2003) Quality Compass
  • 9
    • 0011916582 scopus 로고    scopus 로고
    • For-profit and not-for-profit health plans participating in Medicaid
    • Landon B, Epstein A. For-profit and not-for-profit health plans participating in Medicaid. Health Aff (Millwood). 2001;20(3):162-171.
    • (2001) Health Aff (Millwood) , vol.20 , Issue.3 , pp. 162-171
    • Landon, B.1    Epstein, A.2
  • 10
    • 0036761956 scopus 로고    scopus 로고
    • Managed care: An industry snapshot
    • Newhouse J, Buchanan J, Bailit H, et al. Managed care: an industry snapshot. Inquiry. 2002;39(3):207-220.
    • (2002) Inquiry , vol.39 , Issue.3 , pp. 207-220
    • Newhouse, J.1    Buchanan, J.2    Bailit, H.3
  • 11
    • 0030718593 scopus 로고    scopus 로고
    • What do managed care plans do to affect care? Results from a survey of physicians
    • Remler D, Donelan K, Blendon R, et al. What do managed care plans do to affect care? Results from a survey of physicians. Inquiry. 1997;34(3):196-204.
    • (1997) Inquiry , vol.34 , Issue.3 , pp. 196-204
    • Remler, D.1    Donelan, K.2    Blendon, R.3
  • 12
    • 0033777411 scopus 로고    scopus 로고
    • Does managed care mean more hassle for physicians?
    • Remler D, Gray B, Newhouse J. Does managed care mean more hassle for physicians? Inquiry. 2000;37(3):304-316.
    • (2000) Inquiry , vol.37 , Issue.3 , pp. 304-316
    • Remler, D.1    Gray, B.2    Newhouse, J.3
  • 13
    • 0033544342 scopus 로고    scopus 로고
    • Quality management practices in Medicaid managed care: A national survey of Medicaid and commercial health plans participating in the Medicaid program
    • Landon BE, Epstein AM. Quality management practices in Medicaid managed care: a national survey of Medicaid and commercial health plans participating in the Medicaid program. JAMA. 1999;282(18):1769-1775.
    • (1999) JAMA , vol.282 , Issue.18 , pp. 1769-1775
    • Landon, B.E.1    Epstein, A.M.2
  • 14
    • 46449133260 scopus 로고    scopus 로고
    • The Henry J. Kaiser Family Foundation
    • July 2006, Accessed January 17, 2008
    • The Henry J. Kaiser Family Foundation. State health facts: total HMO enrollment, July 2006. http://www.statehealthfacts.org/comparemaptable.jsp? ind=348&cat=7. Accessed January 17, 2008.
    • State health facts: Total HMO enrollment
  • 17
    • 33750531967 scopus 로고    scopus 로고
    • InterStudy Publications, Bloomington, MN: InterStudy Publications;
    • InterStudy Publications. The Competitive Edge HMO Database. Bloomington, MN: InterStudy Publications; 2004.
    • (2004) The Competitive Edge HMO Database
  • 18
    • 46449121548 scopus 로고    scopus 로고
    • The Leapfrog safety practices, Accessed January 17
    • The Leapfrog Group. The Leapfrog safety practices. http://www.leapfroggroup.org/for_hospitals/ leapfrog_hospital_qualityjnd_safety_survey_copy/leapfrog_safety_practices. Accessed January 17, 2008.
    • (2008)
  • 19
    • 46449122483 scopus 로고    scopus 로고
    • Patient safety indicators overview, Accessed January 17
    • Agency for Healthcare Research and Quality. Patient safety indicators overview. http://www.qualityindicators.ahrq.gov/psi_overview.htm. Accessed January 17, 2008.
    • (2008)
  • 20
    • 33845478495 scopus 로고    scopus 로고
    • Relationship between Medicare's Hospital Compare performance measures and mortality rates
    • Werner R, Bralow E. Relationship between Medicare's Hospital Compare performance measures and mortality rates. JAMA. 2006;296(22):2694-2702.
    • (2006) JAMA , vol.296 , Issue.22 , pp. 2694-2702
    • Werner, R.1    Bralow, E.2
  • 21
    • 0013061074 scopus 로고    scopus 로고
    • H-CAHPS component, Accessed January 17, 2008
    • Agency for Healthcare Research and Quality. Hospital survey (H-CAHPS) component. https://www.cahps.ahrq.gov/content/ncbd/hosp/ NCBD_HOSP_Intro.asp?p=105&s=53. Accessed January 17, 2008.
    • Hospital survey
  • 22
    • 0037452530 scopus 로고    scopus 로고
    • The implications of regional variations in Medicare spending, part 1: The content, quality, and accessibility of care
    • Fisher E, Wennberg D, Stukel T, Gottieb D, Lucas F, Pinder E. The implications of regional variations in Medicare spending, part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138(4):273-287.
    • (2003) Ann Intern Med , vol.138 , Issue.4 , pp. 273-287
    • Fisher, E.1    Wennberg, D.2    Stukel, T.3    Gottieb, D.4    Lucas, F.5    Pinder, E.6
  • 23
    • 29244449829 scopus 로고    scopus 로고
    • Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries
    • Schneider E, Zaslavsky A, Epstein A. Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries. Am J Med. 2005;118(12):1392-1400.
    • (2005) Am J Med , vol.118 , Issue.12 , pp. 1392-1400
    • Schneider, E.1    Zaslavsky, A.2    Epstein, A.3
  • 25
    • 0036479552 scopus 로고    scopus 로고
    • The evolution of quality management in state Medicaid agencies: A national survey of states with comprehensive managed care programs
    • Landon B, Huskamp H, Tobias C, Epstein A. The evolution of quality management in state Medicaid agencies: a national survey of states with comprehensive managed care programs. Jt Comm J Qual Improv. 2002;28(2):72-82.
    • (2002) Jt Comm J Qual Improv , vol.28 , Issue.2 , pp. 72-82
    • Landon, B.1    Huskamp, H.2    Tobias, C.3    Epstein, A.4
  • 26
    • 46449097766 scopus 로고    scopus 로고
    • Centers for Medicare and Medicaid Services. Medicare personal plan finder. http://www.medicare.gov/MPPF/Include/DataSection/Questions/Welcome.asp? version=default&browser=Firefox%7C1%7CW inXP&language=English&year= 2006&defaultstatus=1&pagelist=Home&user=&MPDPF_zip=. Accessed October 12, 2006.
    • Centers for Medicare and Medicaid Services. Medicare personal plan finder. http://www.medicare.gov/MPPF/Include/DataSection/Questions/Welcome.asp? version=default&browser=Firefox%7C1%7CW inXP&language=English&year= 2006&defaultstatus=1&pagelist=Home&user=&MPDPF_zip=. Accessed October 12, 2006.
  • 27
    • 46449125303 scopus 로고    scopus 로고
    • Hospital quality initiatives, Accessed October 12
    • Centers for Medicare and Medicaid Services. Hospital quality initiatives. http://www.cms.hhs.gov/HospitalQualityInits/. Accessed October 12, 2006.
    • (2006)
  • 28
    • 46449094269 scopus 로고    scopus 로고
    • Nursing home quality initiatives, Accessed October 12
    • Centers for Medicare and Medicaid Services. Nursing home quality initiatives. http://www.cms.hhs.gov/NursingHomeQualitylnits/. Accessed October 12, 2006.
    • (2006)
  • 29
    • 0041381147 scopus 로고    scopus 로고
    • Physician clinical performance assessment: Prospects and barriers
    • Landon B, Normand S, Blumenthal D, Daley J. Physician clinical performance assessment: prospects and barriers. JAMA. 2003;290(9):1183-1189.
    • (2003) JAMA , vol.290 , Issue.9 , pp. 1183-1189
    • Landon, B.1    Normand, S.2    Blumenthal, D.3    Daley, J.4
  • 30
    • 0034293068 scopus 로고    scopus 로고
    • Impact of sociodemographic case mix on the HEDIS measures of health plan quality
    • Zaslavsky A, Hochheimer J, Schneider E, et al. Impact of sociodemographic case mix on the HEDIS measures of health plan quality. Med Care Res Rev. 2000;38(10):981-992.
    • (2000) Med Care Res Rev , vol.38 , Issue.10 , pp. 981-992
    • Zaslavsky, A.1    Hochheimer, J.2    Schneider, E.3
  • 31
    • 0035407279 scopus 로고    scopus 로고
    • Scale and structure of capitated physician organizations in California
    • Rosenthal M, Frank R, Buchanan J, Epstein A. Scale and structure of capitated physician organizations in California. Health Aff (Millwood). 2001;20(4):109-119.
    • (2001) Health Aff (Millwood) , vol.20 , Issue.4 , pp. 109-119
    • Rosenthal, M.1    Frank, R.2    Buchanan, J.3    Epstein, A.4


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.