Relationship between low quality-of-care scores and HMOs' subsequent public disclosure of quality-of-care scores.

Abstract
Employers,1 government purchasers of health insurance,2 individual consumers,3 and lawmakers4,5 are seeking more information on the quality of health care. Recently, the President's Commission on Consumer Protection and Quality in the Health Care Industry called for widespread public disclosure of quality data by all health care provider organizations including health plans.6 Public disclosure is seen as a way to enhance informed consumer decision making,7 promote quality improvement,8-10 and increase health plans' accountability for health care delivery.6,11-14

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