Health Care Systems N502, Aspen University: Module 5: Discussion Question #1
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Many consumer and health care advocacy
initiatives are converging toward a mandate to provide public access to many
types of information about managed care organization (MCO) performance, costs,
and quality. In fact, employers in the many parts of the country who are the
major purchasers of health insurance are now requiring MCOs to make “health
plan performance data” available to subscribers to facilitate their choice of
plans.
-
Discuss and provide the rationale for
your opinion on providing data in areas such as patient outcomes, compliance
with national standards for preventive and chronic care, and comparative costs
to the public. -
What obligation, if any, does an
employer, and/or MCO have to educate subscribers in how to interpret
performance data? At whose expense should such education be provided? -
What are the possible benefits or
disadvantages to making such performance data available to the public?
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