State HMO Accreditation and External Quality Review Requirements: Implications for HMOs Serving Rural Areas. UMN RHRC Working Paper #27.

Publication Date: January 1st, 1999
Publication Type(s): Working Paper
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:

  1. to analyze state regulations regarding HMO accreditation and external quality review;
  2. to discuss the implications of these regulations for HMOs serving rural areas; and
  3. 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.

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