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Discuss why health plan do not conduct the same levels of review for hospitals or other...

Discuss why health plan do not conduct the same levels of review for hospitals or other facilities?
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Answer #1

Due to the complex health care services and systems, investigating and interpreting quality, accessibility, delivery, organization, financing, and outcomes of health care services is a big challenge for government officials, insurers, providers and consumers.

Any healthcare systems reviews are based on the quality, affordability and accessibility of the medical services they provide. These informations can be collected through data collection, patient feedback, public opinions, medical records and inspections.

The data collected for the reviews do not flow in a standardized or cohesive way. There is no specific guidelines or methods to review a healthcare system. Due to lack of homogeneity in the methods and procedures through which health plans review the healthcare systems, they fail to collect same level of reviews.

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