Health Plan Characteristics And Consumers’ Assessments Of Quality

Landon, Bruce E.; Zaslavsky, Alan M.; Beaulieu, Nancy; Shaul, James A.; Cleary, Paul D.

doi:10.1377/hlthaff.20.2.274

Cited by 49 publications

(25 citation statements)

References 11 publications

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“…It is conceivable that these findings reflect the differences we note in administrative review and its attendant burden on patients. 14 n Study limitations. Our study has several important limitations.…”

Section: Discussionmentioning

confidence: 99%

For-Profit And Not-For-Profit Health Plans Participating In Medicaid

Landon

Epstein²

2001

Health Affairs

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The proliferation of for-profit health plans has heightened concerns about quality of care, particularly with respect to Medicaid. We undertook this study to compare for-profit and not-for-profit health plans that participate in Medicaid, examining processes of care and the organizational characteristics related to utilization management, financial incentives, and quality of care. Our findings demonstrate that for-profit and not-for-profit plans appear to be more similar than dissimilar in many areas of management, although for-profit plans are more likely to use aggressive utilization review and have slightly less developed quality management systems. On balance, these findings should reassure critics of for-profit health care.

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Section: Discussionmentioning

confidence: 99%

For-Profit And Not-For-Profit Health Plans Participating In Medicaid

Landon

Epstein²

2001

Health Affairs

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“…Similarly, Landon et al (45) examined the relationship between structural features of health plans and patients' assessments of quality reported on CAHPS ® Medicare Managed Care surveys by 82,583 people with Medicare from 182 plans. The strongest predictors of performance were ownership and national affiliation; for-profit and national health plans scored lower on almost all of the outcome variables.…”

Section: Health Plansmentioning

confidence: 99%

Patient Perceptions of the Quality of Health Services

Sofaer

Firminger

2005

Annu. Rev. Public Health

465

405

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■ Abstract As calls are made for a more patient-centered health care system, it becomes critical to define and measure patient perceptions of health care quality and to understand more fully what drives those perceptions. This chapter identifies conceptual and methodological issues that make this task difficult, including the confusion between patient perceptions and patient satisfaction and the difficulty of determining whether systematic variations in patient perceptions should be attributed to differences in expectations or actual experiences. We propose a conceptual model to help unravel these knotty issues; review qualitative studies that report directly from patients on how they define quality; provide an overview of how health plans, hospitals, physicians, and health care in general are currently viewed by patients; assess whether and how patient health status and demographic characteristics relate to perceptions of health care quality; and identify where further, or more appropriately designed, research is needed.Our aim is to find out what patients want, need and experience in health care, not what professionals (however well-motivated) believe they need or get.Through the Patient's Eyes (23)

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“…9,10 Third, care management strategies typical of MA organizations within each area could add to geographical variations in care experiences observed in FFS. [11][12][13][14] For example, MA plans might vary in the way they respond to capitated payments, such as, by intensifying utilization controls or by imposing reduced provider payment rates. [15][16][17][18] In this study, we compared geographic variations and correlations of care experience measures in MA and FFS across states and hospital referral regions (HRRs), controlling for patient characteristics.…”

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confidence: 99%