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Assessments of managed care organizations in the Greater Baton Rouge area by physicians and physicians' office managers.
J La State Med Soc. 2001 Mar; 153(3):135-41.JL

Abstract

Health care quality assessment under managed care organizations is usually derived from two sources: (1) consumer satisfaction surveys, and (2) The Health Plan Employer Data Information Set reports. There is little published data regarding physicians' critiques. This study surveyed physicians and office managers as to the quality of healthcare under 10 managed care organizations in the Greater Baton Rouge area. Performance indicators in the physician questionnaire focused on personal satisfaction, perception of patient satisfaction, and mental health coverage. The office managers' checklist included payment and certification issues, telephone time spent gaining certification, level of knowledge among plan enrollees of their benefits, appeal process, and adequacy of reimbursement. Means were calculated for each performance indicator and managed care organizations were ranked. Tukey-Kramer's post-hoc multiple comparisons test was used to confirm rank order validity. Significant differences were found among companies. Significant rank-order agreement by both physicians and office managers was evident. The usefulness of such surveys and performing them annually is discussed.

Authors+Show Affiliations

Cassidy WM
Louisiana State University School of Medicine, Baton Rouge, Louisiana, USA.
Dyson T
No affiliation info available
Grenier CE
No affiliation info available

MeSH

Attitude of Health PersonnelData CollectionHumansLouisianaManaged Care ProgramsOffice ManagementPhysiciansQuality of Health Care

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11355509

Citation

Cassidy, W M., et al. "Assessments of Managed Care Organizations in the Greater Baton Rouge Area By Physicians and Physicians' Office Managers." The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society, vol. 153, no. 3, 2001, pp. 135-41.
Cassidy WM, Dyson T, Grenier CE. Assessments of managed care organizations in the Greater Baton Rouge area by physicians and physicians' office managers. J La State Med Soc. 2001;153(3):135-41.
Cassidy, W. M., Dyson, T., & Grenier, C. E. (2001). Assessments of managed care organizations in the Greater Baton Rouge area by physicians and physicians' office managers. The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society, 153(3), 135-41.
Cassidy WM, Dyson T, Grenier CE. Assessments of Managed Care Organizations in the Greater Baton Rouge Area By Physicians and Physicians' Office Managers. J La State Med Soc. 2001;153(3):135-41. PubMed PMID: 11355509.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessments of managed care organizations in the Greater Baton Rouge area by physicians and physicians' office managers. AU - Cassidy,W M, AU - Dyson,T, AU - Grenier,C E, PY - 2001/5/18/pubmed PY - 2001/6/22/medline PY - 2001/5/18/entrez SP - 135 EP - 41 JF - The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society JO - J La State Med Soc VL - 153 IS - 3 N2 - Health care quality assessment under managed care organizations is usually derived from two sources: (1) consumer satisfaction surveys, and (2) The Health Plan Employer Data Information Set reports. There is little published data regarding physicians' critiques. This study surveyed physicians and office managers as to the quality of healthcare under 10 managed care organizations in the Greater Baton Rouge area. Performance indicators in the physician questionnaire focused on personal satisfaction, perception of patient satisfaction, and mental health coverage. The office managers' checklist included payment and certification issues, telephone time spent gaining certification, level of knowledge among plan enrollees of their benefits, appeal process, and adequacy of reimbursement. Means were calculated for each performance indicator and managed care organizations were ranked. Tukey-Kramer's post-hoc multiple comparisons test was used to confirm rank order validity. Significant differences were found among companies. Significant rank-order agreement by both physicians and office managers was evident. The usefulness of such surveys and performing them annually is discussed. SN - 0024-6921 UR - https://www.unboundmedicine.com/medline/citation/11355509/Assessments_of_managed_care_organizations_in_the_Greater_Baton_Rouge_area_by_physicians_and_physicians'_office_managers_ DB - PRIME DP - Unbound Medicine ER -