Executives with White Coats — The Work and World View of Managed-Care Medical Directors

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Abstract
Part 1 of this article discussed the career paths of managed-care medical directors in both HMOs and provider organizations and described their work in the area of utilization management. In this second part, we resume the description of the work of medical directors.Quality ImprovementTop-level medical directors spend a substantial proportion of their time on quality improvement. This activity has grown in importance as a result of the rise to prominence of the National Committee for Quality Assurance (NCQA) and its Health Plan Employer Data and Information Set (HEDIS). Many HMOs seek NCQA accreditation and strive to score high . . .

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