I remember when quality improvement was the domain of “numbers types” who reported up to operations. It was a time when health care services were bought (and sold) like commodities – all licensed professionals and programs were assumed to be roughly the same. Payment was made for every unit of service and the role of health insurance companies was limited. Provider organizations processed claims for services rendered and charged an administrative fee for doing it. There was a profit associated with higher service utilization. Oh how times have changed. Increasingly we see profit margins associated with better outcome and that requires . . .
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