Managed Care

 

AMAP in Limbo; When Will Quality Really Catch Fire?

MANAGED CARE January 2000. © MediMedia USA
News and Commentary

AMAP in Limbo; When Will Quality Really Catch Fire?

MANAGED CARE January 2000. ©1999 MediMedia USA

The AMA is evaluating how and whether to proceed with its physician accreditation program, which has been unable to gain attention from health plans and hospitals. Credentials verification and site reviews will be completed for physicians who have applied for AMAP certification, but no new applications are being accepted for now.

The goal was for AMAP to relieve health plans of duplicative credentialing processes; eventually, AMA hoped to create an infrastructure to allow comparisons of clinical quality. But AMAP has lured fewer than a dozen clients, prompting one AMA board member to question whether the issue of quality truly resonates.

Whether Americans are paying attention to so-called report cards is still an open question. A Society of Actuaries study concludes that managed care enrollees don't rely on HEDIS or other barometers of quality to choose health coverage. The society acknowledges, however, that the influence of other potentially important variables — such as family members' opinions of plans — on their selections, and the degree to which those variables overpower quality considerations, is not understood.

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014