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Risk management and data: managed care company perspective.
Oncology (Williston Park). 1998 Nov; 12(11A):162-5.O

Abstract

As both public and private health plans move increasingly to managed care, a vigorous debate is occurring about how to ensure health care quality for the American public, while at the same time managing the cost of that care. Health plans generate large volumes of data related to their networks and providers, plan sponsors, member care, and medical protocols. This data can help assure quality, and at the same time help managed care organizations deal with one of the most critical tasks facing them--risk management. This paper may be helpful in providing an outline of two key areas--managed care liability for quality of patient care, and privacy and confidentiality concerns from a managed care organization perspective--followed by suggestions to avoid or minimize liability.

Authors+Show Affiliations

Kanwit SW
Groom Law Group, Chartered, Washington, DC, USA.

MeSH

ConfidentialityHumansManaged Care ProgramsMedical RecordsQuality of Health CareRisk ManagementUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10028510

Citation

Kanwit, S W.. "Risk Management and Data: Managed Care Company Perspective." Oncology (Williston Park, N.Y.), vol. 12, no. 11A, 1998, pp. 162-5.
Kanwit SW. Risk management and data: managed care company perspective. Oncology (Williston Park). 1998;12(11A):162-5.
Kanwit, S. W. (1998). Risk management and data: managed care company perspective. Oncology (Williston Park, N.Y.), 12(11A), 162-5.
Kanwit SW. Risk Management and Data: Managed Care Company Perspective. Oncology (Williston Park). 1998;12(11A):162-5. PubMed PMID: 10028510.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk management and data: managed care company perspective. A1 - Kanwit,S W, PY - 1999/2/24/pubmed PY - 1999/2/24/medline PY - 1999/2/24/entrez SP - 162 EP - 5 JF - Oncology (Williston Park, N.Y.) JO - Oncology (Williston Park) VL - 12 IS - 11A N2 - As both public and private health plans move increasingly to managed care, a vigorous debate is occurring about how to ensure health care quality for the American public, while at the same time managing the cost of that care. Health plans generate large volumes of data related to their networks and providers, plan sponsors, member care, and medical protocols. This data can help assure quality, and at the same time help managed care organizations deal with one of the most critical tasks facing them--risk management. This paper may be helpful in providing an outline of two key areas--managed care liability for quality of patient care, and privacy and confidentiality concerns from a managed care organization perspective--followed by suggestions to avoid or minimize liability. SN - 0890-9091 UR - https://www.unboundmedicine.com/medline/citation/10028510/Risk_management_and_data:_managed_care_company_perspective_ L2 - https://medlineplus.gov/managedcare.html DB - PRIME DP - Unbound Medicine ER -