Public Accountability and Reporting Systems in Medicare and Other Health Programs

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Abstract
Public accountability embodies, in health care as in other fields, the principle that a government should be responsible to its constituency. The ability to meet that responsibility depends on the extent to which the government possesses information from which determinations about program operation and effectiveness can be made. The data must facilitate an accounting to various sectors of the public that bear the costs and feel the impacts of public programs. These data should reflect distributional and performance aspects of the system, and quality of services provided. Care must be exercised in determining which data are to be collected routinely and which are to be developed from special studies. Of equal importance are decisions about how and by whom data are to be collected.

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