Mihalik Gary J, Scherer Michael R, Schreter Robert K
The Mihalik Group, Chicago, IL, USA.
J Health Care Finance. 2003 Spring;29(3):38-47.
Payers and consumers across the United States are expressing discontent with their health plans. We are witnessing a market-based demand for accreditation as a guarantee of acceptable quality in health services. Increasingly, accreditation by the National Committee for Quality Assurance (NCQA) is being viewed as the "gold standard" for health plans. This article presents a model for allocating resources and a cost analysis of anticipated expenditures associated with achieving this objective.
美国各地的医保支付方和消费者对他们的医保计划表达了不满。我们正在见证一种基于市场的需求，即要求进行认证，以此作为健康服务质量达标的保证。美国国家质量保证委员会（NCQA）的认证日益被视为医保计划的“黄金标准”。本文提出了一种资源分配模型以及实现这一目标的预期支出成本分析。
