System change: quality assessment and improvement for Medicaid managed care.

Part of a special section on health-care service delivery in an evolving managed care environment. The writers discuss Virginia's Quality Assessment and Improvement (QA/I) program for Medicaid, which was adapted from the guidelines of the Quality Assurance Reform Initiative (QARI) of the Health Car...

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Publicado en:Health Care Financing Review Vol. 17; pp. 97 - 116
Autores principales: Smith, Wally R., Cotter, J. James, Rossiter, Louis F.
Formato: Artículo
Publicado: HCFA ORDS Publications Summer 1996
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: System change: quality assessment and improvement for Medicaid managed care.
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          Smith, Wally R.
          Cotter, J. James
          Rossiter, Louis F.
      su:
        Managed care programs
        Medical quality control
        Medical care -- Utilization
        Medicaid
        Virginia
      sug:
        subj:
          Virginia
          Managed care programs
          Medical quality control
          Medical care -- Utilization
          Medicaid
      ab: Part of a special section on health-care service delivery in an evolving managed care environment. The writers discuss Virginia's Quality Assessment and Improvement (QA/I) program for Medicaid, which was adapted from the guidelines of the Quality Assurance Reform Initiative (QARI) of the Health Care Financing Administration. The QA/I program uses three operational assessment components: practice parameter profiles of the outcomes for sentinel conditions seen by primary-care physicians, detailed chart reviews for selected areas of care, and a household survey of 1,500 patients on health and on satisfaction with and access to care. In its implementation of the adapted QARI guidelines, several limitations were encountered by the state. Despite this, the QARI approach is a starting point for states to begin assuring Medicare quality and efficiency.
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      doctype: Article
      src: R
    language: English
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