Accountability and Quality Assurance in Managed Care Systems

“Since 1995 the Tracking Project has explored the extent to which adequate data are available in managed care systems to guide decision-making regarding children’s behavioral health services. In both impact analyses, key stakeholders in most states reported that management information systems (MIS) were insufficient to meet the accountability needs of managed care systems. They also cited problems with obtaining encounter data from managed care organizations (MCOs), a lack of electronic data reporting systems, and a lack of resources to manage and analyze data in a timely manner for either decision-making or quality assurance purposes.”

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