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Many consumer and health care advocacy
initiatives are converging toward a mandate to provide public access to many
types of information about managed care organization (MCO) performance, costs,
and quality. In fact, employers in the many parts of the country who are the
major purchasers of health insurance are now requiring MCOs to make “health
plan performance data” available to subscribers to facilitate their choice of
plans.



  • Discuss and provide the rationale for
    your opinion on providing data in areas such as patient outcomes, compliance
    with national standards for preventive and chronic care, and comparative costs
    to the public.

  • What obligation, if any, does an
    employer, and/or MCO have to educate subscribers in how to interpret
    performance data? At whose expense should such education be provided?

  • What are the possible benefits or
    disadvantages to making such performance data available to the public?



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