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12. A Response
Pages 86-90

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From page 86...
... NEED FOR CHANGES Using this long time horizon leads me to believe that the classic form of health insurance on which Medicare is based, that is, paying for units of care and relying on inspection for quality control, is on its way to extinction. There is going to have to be a major massive involvement by the federal government in improving the quality of the services Medicare pays for, or Medicare as we now know it will simply become a dinosaur.
From page 87...
... If somebody else would do it, and if it would cost them neither money nor effort, they would perhaps go along with it reluctantly. They were sure that they were doing good ~Editors' Note: The reference is to the successive Medicare peer review and quality assurance efforts: Experimental Medical Care Review Organizations (EMCROs)
From page 88...
... We are living in wonderful times in terms of quality assurance improvement and evaluation. Today there are more exciting things being tried in these areas than at 2Editors' Note: Health services researchers who have published widely in the field of quality assurance.
From page 89...
... Medicare: A Strategy for Quality Assurance. Volumes I and II.


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