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Quality of care review: recent experience in Arizona.

Schaller DF, Bostrom AW, Rafferty J - Health Care Financ Rev (1986)

Bottom Line: The Arizona Health Care Cost Containment System (AHCCCS) is an HMO-oriented Medicaid demonstration project serving approximately 170,000 persons throughout the State of Arizona.To assure that its members are receiving high quality care and because of the potentially adverse incentives of capitation, AHCCCS places particular emphasis on quality-of-care review.A key component of that review is the development of annual, statewide medical audits.

View Article: PubMed Central - PubMed

ABSTRACT
The Arizona Health Care Cost Containment System (AHCCCS) is an HMO-oriented Medicaid demonstration project serving approximately 170,000 persons throughout the State of Arizona. To assure that its members are receiving high quality care and because of the potentially adverse incentives of capitation, AHCCCS places particular emphasis on quality-of-care review. A key component of that review is the development of annual, statewide medical audits. In this article, we describe the nature and organization of medical care delivery under AHCCCS, outline the evolution of the annual medical audits, describe the most recent of these audits, and present and discuss the results.

Show MeSH
Statewide compliance scores on each element of the EPSDT audit, by audit element
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4195080&req=5

f1-hcfr-86-supp-065: Statewide compliance scores on each element of the EPSDT audit, by audit element

Mentions: The statewide EPSDT results are given in Figure 1. The bars indicate the compliance ratios for each of the audit elements, where the ratios are expressed as percents.


Quality of care review: recent experience in Arizona.

Schaller DF, Bostrom AW, Rafferty J - Health Care Financ Rev (1986)

Statewide compliance scores on each element of the EPSDT audit, by audit element
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195080&req=5

f1-hcfr-86-supp-065: Statewide compliance scores on each element of the EPSDT audit, by audit element
Mentions: The statewide EPSDT results are given in Figure 1. The bars indicate the compliance ratios for each of the audit elements, where the ratios are expressed as percents.

Bottom Line: The Arizona Health Care Cost Containment System (AHCCCS) is an HMO-oriented Medicaid demonstration project serving approximately 170,000 persons throughout the State of Arizona.To assure that its members are receiving high quality care and because of the potentially adverse incentives of capitation, AHCCCS places particular emphasis on quality-of-care review.A key component of that review is the development of annual, statewide medical audits.

View Article: PubMed Central - PubMed

ABSTRACT
The Arizona Health Care Cost Containment System (AHCCCS) is an HMO-oriented Medicaid demonstration project serving approximately 170,000 persons throughout the State of Arizona. To assure that its members are receiving high quality care and because of the potentially adverse incentives of capitation, AHCCCS places particular emphasis on quality-of-care review. A key component of that review is the development of annual, statewide medical audits. In this article, we describe the nature and organization of medical care delivery under AHCCCS, outline the evolution of the annual medical audits, describe the most recent of these audits, and present and discuss the results.

Show MeSH