Much of the attention on strategies to improve quality performance among health care providers has been focused on federal initiatives regarding public reporting of quality measures and the use of pay-for-performance financial incentives. However, private sector quality initiatives could potentially have a significant impact on the quality of rural healthcare. The purpose of this project is to assess the impact of private sector quality reporting and quality improvement initiatives on rural providers and on the quality of care provided to rural patients. This qualitative study will involve a review of the literature and primary data collection using survey interviews with insurers/health plans in multiple states with significant rural populations.
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