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Patients are assumed to choose selectively between health insurers based on e.g. the range of providers contracted and the insurers' quality of service.
One study found that insurers, quality assurance programs and regulatory agencies are important incentives to improve health and safety [ 5], while another found that owners do not trust government agencies or consultants and seek input on environmental improvements only from suppliers, other owners and customers [ 6].
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People do not perceive differences between health insurers in quality of care [ 26] and quality of care was mentioned as a reason to switch by only a small percentage of both groups.
But how much the insurers emphasize quality remains to be seen.
The secretary of health and human services should organize a working group representing Medicare, private insurers, oncologists, quality experts and patients to figure out how to develop these proposals — with no increase in costs — and start implementing them by the end of 2015.
In the CQI Manuals, three types of information products are described: consumer report cards, purchasing information for insurers and quality reports for health care managers and professionals.
All these look like activities whose primary purpose is to reduce costs for the insurer with quality at best a secondary issue.
The Colorado program began in 1990 as the Colorado Personalized Education Program, the brainchild of an array of Colorado medical organizations including the state medical society, the state's major malpractice insurer, the quality assurance organization, the hospital association and the state program for addicted physicians.
Conversely, consumers who are ill may base their choice of insurer on quality indicators for a single condition.
Does the insurer provide quality customer service and pay claims in a timely manner?
The question is whether the mobility of the insured in the new health insurance system will lead to insurers improving the quality of care offered.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com