LEADER 04846nam 22007094a 450 001 9910965570203321 005 20251017110134.0 010 $a9786610186105 010 $a9780309184359 010 $a0309184355 010 $a9781280186103 010 $a1280186100 010 $a9780309592918 010 $a0309592917 010 $a9780585082417 010 $a0585082413 035 $a(CKB)110986584752572 035 $a(OCoLC)70772054 035 $a(CaPaEBR)ebrary10055430 035 $a(SSID)ssj0000124594 035 $a(PQKBManifestationID)11141391 035 $a(PQKBTitleCode)TC0000124594 035 $a(PQKBWorkID)10023218 035 $a(PQKB)10328608 035 $a(MiAaPQ)EBC3376318 035 $a(Au-PeEL)EBL3376318 035 $a(CaPaEBR)ebr10055430 035 $a(CaONFJC)MIL18610 035 $a(OCoLC)923262869 035 $a(Perlego)4737757 035 $a(DNLM)1123845 035 $a(BIP)5984773 035 $a(EXLCZ)99110986584752572 100 $a20000316d1999 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aCollaboration among competing managed care organizations for quality improvement $esummary of a conference, November 13, 1997 /$fThe National Roundtable on Health Care Quality, Division of Health Care Services, Institute of Medicine ; Molla S. Donaldson, editor 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1999 215 $a1 online resource (61 p.) 300 $aBibliographic Level Mode of Issuance: Monograph 311 08$a9780309063869 311 08$a0309063868 320 $aIncludes bibliographical references. 327 $aCollaboration Among Competing Managed Care Organizations for Quality Improvement -- Copyright -- PREFACE AND ACKNOWLEDGMENTS -- Contents -- SUMMARY -- Why Do Organizations Collaborate? -- Antitrust Issues -- Standard Setting -- Information Collection and Exchange -- Selecting High-Quality Providers -- Lobbying and Working with Government -- Conclusion -- SESSION 1: CONCEPTUAL ISSUES IN COLLABORATION -- INTRODUCTION TO COLLABORATION -- Potential Areas for Collaboration -- Issues for the Conference -- LEGAL ISSUES IN COLLABORATION -- Some Rudiments of Antitrust Law -- Specific Pitfalls to Be Avoided -- Group Boycotts. -- Other Naked Restraints. -- Standard Setting -- Information Collection and Exchange -- Selecting High-Quality Providers -- Lobbying and Working with Government -- Conclusion -- COLLABORATION FOR QUALITY IMPROVEMENT AMONG MANAGED HEALTH CARE ORGANIZATIONS: WHAT CAN BE LEARNED F ... -- Why Do Organizations Collaborate? -- Why Do Organizations Refuse to Collaborate? -- How Are These Examples Relevant to Health Care? -- SESSION 2: PANEL PRESENTATIONS -- LESSONS FROM THE ELECTRONICS INDUSTRY -- ANTITRUST REGULATION -- THE LIMITS OF COMPETITION -- THE MEDICAL DIRECTOR'S PERSPECTIVE -- SESSION 3: EXAMPLES OF COLLABORATION -- HEALTH CARE EDUCATION RESEARCH FOUNDATION -- THE EMPLOYERS' MANAGED HEALTH CARE ASSOCIATION -- PACIFIC BUSINESS GROUP ON HEALTH -- THE FOUNDATION FOR HEALTHY COMMUNITIES -- THE NATIONAL RURAL HEALTH ASSOCIATION -- Barriers to Collaboration -- BIOGRAPHIES OF SPEAKERS -- CONFERENCE AGENDA. 330 $aIn November, 1997, The Institute of Medicine convened a one-day conference to explore areas for potential collaboration to improve quality among competing health plans consistent with antitrust and other legal requirements. The conference was convened to clarify the limits of such potential activities and to explore ways to stimulate collaboration; in short, to explore permissible and promising areas for collaboration for competing health plans. Competition has existed at the provider level in the pre-managed care era and continues among physicians, physician groups and hospitals today. What is new is the extent of competition at the managed care organization level in individual regional markets. As large numbers of individuals are enrolled in health plans, the potential for new forms of cooperation for improving quality of care becomes possible. Along with these new possibilities, however, come questions about whether they bring the potential for antitrust violation. 606 $aManaged care plans (Medical care)$zUnited States$vCongresses 615 0$aManaged care plans (Medical care) 676 $a362.1/04258/0973 701 $aDonaldson$b Molla S$01804686 712 02$aNational Roundtable on Health Care Quality. 712 02$aInstitute of Medicine (U.S.).$bDivision of Health Care Services. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910965570203321 996 $aCollaboration among competing managed care organizations for quality improvement$94367200 997 $aUNINA