Posting date: July 26, 2005

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Health Affairs, 10.1377/hlthaff.w5.331
Copyright © 2005 by Project HOPE

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Medicare, Medicaid, And Health Care Quality

¹ Bill Roper is chief executive officer of the University of North Carolina Health Care System; dean of the School of Medicine, University of North Carolina at Chapel Hill, and dean of its School of Public Health. He was administrator from May 1986 to February 1989. After leaving HCFA, he became director of the U.S. Centers for Disease Control and Prevention (CDC), and has served in a variety of key White House positions under Presidents Ronald Reagan and George H.W. Bush.

^*Corresponding author.

Abstract

Today the CMS has a broad agenda for improving the quality of care in Medicare, and efforts are beginning to focus on Medicaid quality as well. Maintaining this focus on quality will be even more important in the coming years, as Medicare and other large purchasers move toward adoption of performance-based payment systems. Measuring quality, performance, and value is an appropriate and prominent part of the public debate on these new payment approaches.

Key Words: Elderly, Health Reform, Medicaid, Medicare, Politics

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