How would this Act deal with issues of cost containment, quality assurance, and fraud?
Cost containment, quality assurance and fraud issues would be handled through a Quality Assurance Division of the Connecticut Health Care Trust. The Quality Assurance Division would work with a health care giver advisory board to determine pragmatic and cost-effective quality standards which it would use to educate providers on cost containment issues. The system educates providers through quality of care standards, rather than managing individual cases. Quality assurance would be handled in two ways. First, by investigating complaints from patients about their health care givers or health care organizations. Second, by investigating those situations in which the pattern of utilization of a particular health care giver differs significantly from the patterns expected under the quality of care standards established by the state with the input of health care giver and health care organizations. Fraud would be investigated through a system similar to Medicare. Caregivers whose patterns of
Related Questions
- How would a public health system deal with cost containment issues, quality of care issues and potential fraudulent billing of health care providers?
- How would this Act deal with issues of cost containment, quality assurance, and fraud?
- Why do I need a licence under the WA Radiation Safety Act and what is the cost?
