Publication Date: January 1st, 1999
Publication Type(s): Working Paper
Topic(s): Medicare
Author(s): Casey, M.
This paper is the second in a series of papers examining the relationship between accreditation and HMOs serving rural areas. The purpose of this paper is:
- to analyze state regulations regarding HMO accreditation and external quality review;
- to discuss the implications of these regulations for HMOs serving rural areas; and
- to briefly describe states’ experiences in implementing these regulations.
The primary focus is on state regulations that require an HMO to seek accreditation or undergo external quality review as a condition of licensure. A secondary focus is on state regulations or contract provisions that require an HMO to be accredited in order to serve state employees.