Are managed care plans organizing for quality?

Dennis Patrick Scanlon, Elizabeth Rolph, Charles Darby, Hilary E. Doty

Research output: Contribution to journalReview article

11 Citations (Scopus)

Abstract

This article examines the degree to which managed care organizations (MCOs) are reorganizing to take responsibility for the quality of care and service they provide. Specifically, factors prompting plans to focus on quality improvement (QI) and how they may be building the capacity to improve quality are considered. The authors' analysis is based on executive interviews with the plan medical directors, QI directors, and chief executive officers (CEOs) in a sample of 24 health plans. The overall response rate was 58.3 percent (medical director = 62.5 percent, QI director = 79.2 percent, CEO = 33.3 percent). The authors queried respondents about (1) perceived drivers and obstacles to the development of an effective QI program, (2) plan organizational structure for QI, and (3) technical capacities for data collection, management, and performance measurement. The results suggest that M COs are responding to outside pressures to engage in QI. They are reorganizing their management structures and more slowly and tentatively are building technical capacity for QI.

Original languageEnglish (US)
Pages (from-to)9-32
Number of pages24
JournalMedical Care Research and Review
Volume57
Issue numberSUPPL. 2
StatePublished - 2000

Fingerprint

Managed Care Programs
Quality Improvement
managed care
Physician Executives
director
Capacity Building
Quality of Health Care
performance measurement
organizational structure
management
Organizations
Interviews
Pressure
driver
Health
responsibility
interview
health

All Science Journal Classification (ASJC) codes

  • Health Policy
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Scanlon, D. P., Rolph, E., Darby, C., & Doty, H. E. (2000). Are managed care plans organizing for quality? Medical Care Research and Review, 57(SUPPL. 2), 9-32.
Scanlon, Dennis Patrick ; Rolph, Elizabeth ; Darby, Charles ; Doty, Hilary E. / Are managed care plans organizing for quality?. In: Medical Care Research and Review. 2000 ; Vol. 57, No. SUPPL. 2. pp. 9-32.
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Scanlon, DP, Rolph, E, Darby, C & Doty, HE 2000, 'Are managed care plans organizing for quality?', Medical Care Research and Review, vol. 57, no. SUPPL. 2, pp. 9-32.

Are managed care plans organizing for quality? / Scanlon, Dennis Patrick; Rolph, Elizabeth; Darby, Charles; Doty, Hilary E.

In: Medical Care Research and Review, Vol. 57, No. SUPPL. 2, 2000, p. 9-32.

Research output: Contribution to journalReview article

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