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Disease Staging Applications for Utilization Review and Quality Assurance

Disease Staging Applications for Utilization Review and Quality Assurance Disease Staging for Utilization Review and Applications Quality Assurance Daniel Z. M.S. and S. M.D. Louis,* Joseph Gonnella, Center for Research in Medical Education and Health Jefferson Medical 19107 Care, College, Philadelphia, Pennsylvania With health care 11% of successful of and state Med- expenditures operation HMOs,’ PPOs, approaching the is no efforts. Gross National it wonder that icaid cost control Product, the cost of health care has if not the recent literature the controlling become, Reading certainly gives the central one of the issues. the that more attention’ is to cost concern, major facing impression being paid health care of the Medicare control than to activities. We be- system. Implementation quality, assurance the of Health that a renewed focus on assur- system (1), growth however, prospective payment lieve, quality Maintenance and Preferred Provider ance is warranted. One ask the What Organizations must question: and efforts a number of states on the of care will the Organizations, by (such impact quality growing emphasis as California’s Medi-Cal to con- on cost and utilization controls have? This concern contracting system) trol Medicaid are all aimed at for a balanced effort in cost containment and expenditures controlling quality health care costs. assurance is http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Quality Assurance and Utilization Review SAGE

Disease Staging Applications for Utilization Review and Quality Assurance

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References (16)

Publisher
SAGE
Copyright
Copyright © by SAGE Publications
ISSN
0885-713X
DOI
10.1177/0885713X8600100105
Publisher site
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Abstract

Disease Staging for Utilization Review and Applications Quality Assurance Daniel Z. M.S. and S. M.D. Louis,* Joseph Gonnella, Center for Research in Medical Education and Health Jefferson Medical 19107 Care, College, Philadelphia, Pennsylvania With health care 11% of successful of and state Med- expenditures operation HMOs,’ PPOs, approaching the is no efforts. Gross National it wonder that icaid cost control Product, the cost of health care has if not the recent literature the controlling become, Reading certainly gives the central one of the issues. the that more attention’ is to cost concern, major facing impression being paid health care of the Medicare control than to activities. We be- system. Implementation quality, assurance the of Health that a renewed focus on assur- system (1), growth however, prospective payment lieve, quality Maintenance and Preferred Provider ance is warranted. One ask the What Organizations must question: and efforts a number of states on the of care will the Organizations, by (such impact quality growing emphasis as California’s Medi-Cal to con- on cost and utilization controls have? This concern contracting system) trol Medicaid are all aimed at for a balanced effort in cost containment and expenditures controlling quality health care costs. assurance is

Journal

Quality Assurance and Utilization Review – SAGE

Published: Feb 1, 1986

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