Date of Award

1999

Embargo Period

8-1-2024

Document Type

Dissertation

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Walter J. Jones

Second Advisor

W. David Bradford

Third Advisor

T. Terry Pitts

Abstract

The professional and popular literatures are full of reports of surveys and studies purporting to rate health plans. Health maintenance organizations and other organizations are surveying member satisfaction. Accreditation of health plans is receiving increased attention. Interest is growing in plans' performance in the areas measured by the Health Plan Employers' Data and Information Set (HEDIS). The factors measured in current ratings and accreditation systems are not important to hospitals for evaluating health plan participation. There are factors in a health plan's performance that are important to and either beneficial or detrimental to hospitals. This paper proposes factors upon which health care plans should be evaluated and rated to measure their "business partner quality" from the hospital perspective.

Rights

All rights reserved. Copyright is held by the author.

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