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Out in front. Managed care helps push clinical guidelines forward

K Sandrick

    Hospitals
    |May 5, 1993
    PubMed
    Summary

    Managed care plans are shifting from productivity to quality incentives. Hospitals must now decide which clinical practice guidelines to adopt to meet new quality standards.

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    Area of Science:

    • Healthcare Management
    • Health Policy

    Background:

    • Managed care organizations historically prioritized provider productivity.
    • There is a growing trend towards incentivizing quality of care over sheer volume of services.

    Purpose of the Study:

    • To examine the shift in managed care incentives from productivity to quality.
    • To address the challenge hospitals face in selecting clinical practice guidelines.

    Main Methods:

    • Analysis of managed care plan incentive structures.
    • Review of hospital adaptation strategies to new quality metrics.

    Main Results:

    • Managed care incentives are increasingly focused on patient outcomes and quality metrics.
    • Hospitals are actively evaluating and adopting various clinical practice guidelines.

    Conclusions:

    • The transition to quality-based incentives requires strategic alignment of hospital practices.
    • Selecting appropriate clinical practice guidelines is crucial for hospitals navigating this evolving landscape.

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