Jump to ContentJump to Main Navigation
Unmanageable CareAn Ethnography of Health Care Privatization in Puerto Rico$
Users without a subscription are not able to see the full content.

Jessica M. Mulligan

Print publication date: 2014

Print ISBN-13: 9780814724910

Published to NYU Press Scholarship Online: March 2016

DOI: 10.18574/nyu/9780814724910.001.0001

Show Summary Details
Page of

PRINTED FROM NYU Press SCHOLARSHIP ONLINE (www.nyu.universitypressscholarship.com). (c) Copyright University of NYU Press Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in NYSO for personal use.date: 04 August 2021

Quality

Quality

Managing by Numbers

Chapter:
(p.125) 4 Quality
Source:
Unmanageable Care
Author(s):

Jessica M. Mulligan

Publisher:
NYU Press
DOI:10.18574/nyu/9780814724910.003.0005

This chapter examines the role of quality measurement within market-based health policies. Quantifying quality is supposed to unite regulators, health plans, and health care consumers in a circuit of constant improvement. Additionally, the production of quality data is important in the Medicare program as patients are supposed to use quality statistics to make informed plan choices. The chapter first analyzes policy documents that define the methods and administrative rationale for conducting quality measurement. It draws on the ethnographic research conducted at Acme. Much of the observation done was targeted at maximizing revenue and complying with regulatory requirements. The chapter concludes with interview excerpts from health plan members regarding how they imagine quality health care, thereby demonstrating some of the disconnects between the quality-measurement efforts of policy makers and health maintenance organizations (HMOs), and the kinds of quality concerns raised by consumers.

Keywords:   quality measurement, market-based health policies, regulators, health plans, health care consumers, Medicare, Acme, health maintenance organizations

NYU Press Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.