Search Results for quality of care

...Eric Kessell; Vishaal Pegany; Beth Keolanui; Brent D. Fulton; Richard M. Scheffler; Stephen M. Shortell Abstract Accountable care organizations (ACOs) have proliferated under the Affordable Care Act (ACA). If ACOs are to improve health care quality and lower costs, quality measures...

...Peter J. Hammer The American health care system embodies a complex amalgamation of fractured and conflicting parts. As such, any call to enhance quality or competition necessarily presupposes some ability to introduce greater harmony and coordination. But how does one make a complicated system work...

...Roger Feldman In this article, I argue that unregulated markets will not find the right level of health care quality but that at the same time it is not clear that single-payer systems will do any better. My perspective combines the economic theory of public goods and the institutional payment...

...Cara S. Lesser; Paul B. Ginsburg Drawing on observations from tracking changes in local health care markets over the past ten years, this article critiques two Federal Trade Commission and Department of Justice recommendations to enhance price and quality competition. First, we take issue...

...Ulrike Lepont Abstract Context: In the late 2000s, the contention that quality improvements achieved by reforms in the delivery of care would slow the growth of costs throughout the US health care system became the predominant strategy for cost containment in the discourses and programs of all...

... of the Harvard Medical Practice Study I. New England Journal of Medicine 324 (6): 370 -376. Brennan, Troyen A., and Donald M. Berwick. 1996 . New Rules: Regulation, Markets and the Quality of American Health Care . San Francisco: Jossey-Bass. Carter, Richard. 1958 . The Doctor Business . New York...

... costs and by others as a means to increase quality of care. However, little is known about the issues and problems associated with selective contracting based on objective criteria rather than negotiations. Identification of individual institutions with performance significantly better or poorer than...

... (registered nurse staffing and resident care management practices) is estimated by weighted two-stage least squares regression. Results suggest that the quality effects of indicators of competition vary and that market concentration may not diminish quality-based competition. Proposals for nursing home...

...James D. Reschovsky; J. Lee Hargraves; Albert F. Smith Surveys that rate how persons enrolled in HMOs and other types of health coverage feel about their health care are used to bolster claims that HMOs provide inferior quality care, providing justification for patient protection legislation...

...Richard M. Scheffler Abstract Will accountable care organizations (ACOs) deliver high-quality care at lower costs? Or will their potential market power lead to higher prices and lower quality? ACOs appear in various forms and structures with financial and clinical integration at their core; however...

... at risk for low-quality care before the disaster occurred while better identifying those in need of evacuation or assistance afterward. © 2008 by Duke University Press 2008 Angelelli, J., V. Mor, O. Intrator, Z. Feng, and J. Zinn. 2003 . Oversight of Nursing Homes: Pruning the Tree or Just...

... and substance abuse, however, the unregulated market may not cover a benefit at all, leaving people with less coverage and less choice. Finally, the report stresses the importance of linking costs to quality. Such a linkage is likely to lead to a health care system in which poor people obtain poor-quality care...

...Alice A. Noble; Troyen A. Brennan The managed care industry is at a crossroads. Belief in the ability of market forces alone to create an environment fostering quality health care at lower cost is eroding. Regulators across the country are confronted with a growing consumer backlash against managed...

...Ming Tai-Seale Many analysts advocate patient exit as a strategy for consumers who experience poor-quality care. Exit is believed to have the potential to improve patient welfare by having patients leave (or “exit”)poor-performing health care providers, thus signaling their dissatisfaction...

... quality care, and it places too much emphasis on caring for physical ills without concern for enhancing patients' quality of life. Alternative modes and settings now under consideration could solve one or more of these problems, but the choices would be constrained by financial and technical barriers...

...Deborah Levine; Jessica Mulligan Abstract Overutilization is commonly blamed for escalating costs, compromising quality, and limiting access to the US health care system. Recent estimates suggest that nearly one-third of health care spending in the United States is a result of unnecessary care...

... aspects play a crucial role in high-quality care and equitable health system performance but depend on the potentially frail reed of providers' trustworthiness: that is, their commitment to facets and outcomes of care not easily assessed by external parties. More recently, early experience with pay...

... be to explore the extent to which the dominance of tax-subsidized not-for-profit hospitals is a societally preferred means of achieving the provision of a level of access to quality care that otherwise would require a large direct government subsidy. Copyright © 1988 by Duke University Press 1988...

...John A. Nyman; Cynthia R. Geyer It has been assumed that the best policy for promoting quality of life in nursing homes is direct regulation. In this paper it is argued that if our experience in regulating quality of care is any indication, we may not possess the political will to successfully...