Quality of care review: recent experience in Arizona.
Schaller, Donald F
Date of Pub
Bostrom Jr, Albert W; Rafferty, John
The Arizona Health Care Cost Containment System (AHCCCS) is an HMO-oriented Medicaid demonstration project serving approximately
170,000 persons throughout the State of Arizona. To assure that its members are receiving high quality care and because of
the potentially adverse incentives of capitation, AHCCCS places particular emphasis on quality-of-care review. A key component
of that review is the development of annual, statewide medical audits. In this article, we describe the nature and organization
of medical care delivery under AHCCCS, outline the evolution of the annual medical audits, describe the most recent of these
audits, and present and discuss the results.
Quality of Health Care : Arizona : Cost Control : Data Collection : Evaluation Studies : Health Maintenance Organizations/standards
: Medicaid/organization & administration : Medical Audit/methods : Pilot Projects : Statistics