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Related Experiment Videos

What does accreditation mean for PPOs?

L V Weinman1

  • 1Consumer Health Network, Piscataway, NJ, USA.

Managed Care Interface
|July 6, 1998
PubMed
Summary
This summary is machine-generated.

Managed care selection is shifting from price to quality. Accreditation standards and company commitment are crucial for discerning quality in the managed care industry.

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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Industry Standards

Background:

  • Early managed care focused primarily on cost containment.
  • The increasing emphasis on healthcare quality necessitates new evaluation methods.
  • Existing accreditation bodies offer a framework for assessing managed care organizations.

Purpose of the Study:

  • To highlight the evolving role of quality in managed care.
  • To emphasize the importance of industry-wide standards for quality assessment.
  • To underscore the significance of accreditation in guiding buyer decisions.

Main Methods:

  • Literature review of managed care evolution.
  • Analysis of the role of accreditation in quality discernment.
  • Discussion of benefits derived from industry awareness and regulation.

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Main Results:

  • Price is no longer the sole determinant in managed care selection.
  • Accreditation serves as a vital tool for identifying quality providers.
  • Company commitment is essential for successful accreditation.

Conclusions:

  • The managed care industry requires robust quality standards.
  • Accreditation processes are key to ensuring and communicating quality.
  • Consumer awareness and government oversight enhance the value of accreditation.