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Challenges in Healthcare Quality Transparency Efforts in Respect to U.S. Medical Practices

The Journal of Health Care Finance

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Title Challenges in Healthcare Quality Transparency Efforts in Respect to U.S. Medical Practices
 
Creator Krause, DrPH, Trudy Millard; The University of Texas Health Science Center at Houston, School of Public Health
Chen, MHS, Joseph; The University of Texas Health Science Center at Houston, School of Public Health
Cazaban, MD, DrPH, Cecilia Ganduglia; The University of Texas Health Science Center at Houston, School of Public Health
 
Description Healthcare transparency efforts are being encouraged across states, and across markets.  These efforts to report on the costs associated with healthcare and provider quality performance are aimed at providing consumers with information that will improve decision making.  Many of the current transparency approaches focus on cost comparisons.  Yet, evaluation of providers on cost only is inappropriate – quality must also be considered.  Additionally, transparency quality measures are increasingly impacting payment practices for providers.  Value-based payment systems are shifting traditional payment strategies from pay for quantity to pay for quality.This paper reviews the key challenges to transparency reporting on quality in health care.  Reporting efforts are dependent on the type and accuracy of available data.  Most often, the available data are historical claims data.  Claims data have limitations as well as benefits.  Other important challenges center on strategic reporting decisions such as what type of providers to focus upon, what measures to use, and how to fairly adjust measure results for accurate representation.
 
Publisher Worldwebtalk.com, Inc.
 
Contributor —
 
Date 2016-09-10
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://healthfinancejournal.com/index.php/johcf/article/view/83
 
Source Journal of Health Care Finance; Vol 43, No 3, Winter 2017
 
Language eng
 
Relation http://healthfinancejournal.com/index.php/johcf/article/view/83/84
 
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