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February 19, 2003

Public Disclosure of Health Plan Quality of CarePublic Disclosure of Health Plan Quality of Care

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(7):845-847. doi:10.1001/jama.289.7.845-a

To the Editor: Dr McCormick and colleagues1 underscore the limitations of voluntary public disclosure of performance data. However, I would not call voluntary public disclosure a complete failure, given this revelation of its attendant gaming and manipulations. The article buttresses the potential and ongoing trade-offs between market dynamics (in principle driven by costs and quality2) and the quality movement in the United States and other industrialized nations with managed care. Thus, there is need to reconcile corporate governance and clinical governance: this may entail reengineering the entire system around the empowered health care consumer.

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