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Public Disclosure of Health Plan Quality of Care
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In Reply: Ms Ignagni and Dr Pawlson criticize us for using older HEDIS data. At the time our study was submitted in June 2001, NCQA had released neither HEDIS 2001 nor 2002. Moreover, we doubt that inclusion of more recent data would substantially alter our conclusions.
According to Pawlson, the percentage of plans withdrawing from public disclosure declined in 2001 and 2002. He lauds a 1999 NCQA policy change that required public disclosure for plans newly seeking formal accreditation. While we applaud this policy, it scarcely resolves the problem because accreditation remains optional. Low-scoring plans can still manipulate the process by forgoing accreditation or by withdrawing from HEDIS altogether. Hence, the actual proportion of plans whose scores are hidden from public view is far higher than Pawlson and Ignagni suggest. While the dropout rate has been lower in the past 2 years, the percentage of plans that submitted HEDIS scores . . . [Full Text of this Article]
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