Word: hmos
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Dates: during 2000-2009
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...NCQA’s current “health care quality report cards,” HMOs gain quality points based on their performance in five areas: preventative health care measures, more complex operations, claims processing, communication with physicians and general “effectiveness of care...
...HMOs can choose not to disclose their rankings—which undercuts the effectiveness of this system, researchers said...
Associate Professor of Medicine David U. Himmelstein, who assisted with the study, said the research team developed the idea for the study after analyzing the quality data for HMOs over several years. The doctors noticed that individual HMOs did not appear consistently in the rankings from year to year...
After further investigation of quality ratings from 1997 through 1999, Himmelstein said the researchers discovered a pattern of HMOs performing poorly one year and the next year withdrawing from the rankings...
Himmelstein criticized the ability of HMOs in the current system to evade public scrutiny of their quality rankings...