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Reviews in 2008 and 2009 review of research on the effects of health care ratings found that there was evidence that public ratings drove hospitals to improve their performance, but there was limited evidence that they affected how consumers choose health care providers or insurance plans, or that they changed the performance of individual ...
The Institute for Clinical and Economic Review (ICER) is a Boston-based independent nonprofit organization that seeks to place a value on medical care by providing comprehensive clinical and cost-effectiveness analyses of treatments, tests, and procedures. [1] ICER was founded in about 2005 by physician-researcher Steven D. Pearson. [1]
However, the hybrid method is more costly, time-consuming and requires nurses or medical record reviewers who are authorized to review confidential medical records. As of 2019, NCQA is transitioning data collection to a digital process that uses existing electronic data sources rather than surveys and manual data collection.
The Medicare and Medicaid Extenders Act of 2010 [1] is a federal law of the United States, enacted in 2010. [2] [3] The law was first introduced into the House as H.R. 4994 on April 13, 2010, by Rep. John Lewis (D-GA) with 20 cosponsors. It was then referred to the House Committee on Ways and Means and the House Committee on the Budget.
Healthgrades evaluates hospitals solely on risk-adjusted mortality and in-hospital complications. [17] Its website evaluates roughly 500 million claims from federal and private reviews and data to rate and rank doctors based on complication rates at the hospitals where they practice, experience, and patient satisfaction. [8]
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [1] [2] A discipline-specific process may be referenced accordingly (e.g., physician peer review, nursing peer review).
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Formal utilization review and quality improvement programs including disease management and case management; An emphasis on preventive care including wellness incentives and patient education; The techniques can be applied to both network-based benefit programs and benefit programs that are not based on a provider network.