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Collaboration Among Competing Managed Care Organizations for Quality Improvement (1999) / Chapter Skim
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Session 2: Panel Presentations
Pages 33-37

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
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From page 33...
... This cycle of improvement and increased value and customer loyalty by consumers is an important lesson that health care organizations could emulate.
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From page 34...
... Collaborative activities among competitors, including information sharing and standard setting, are common in many industries and do not raise serious antitrust concerns. For example, efforts to gather and interpret physician data, jointly perform outcomes studies, and develop practice guidelines, all can be procompetitive, and indeed the federal antitrust enforcement agencies have explicitly provided guidance on these issues in their Statements of Antitrust Enforcement Policy in Health Care.45 Actions to exclude providers from plans to achieve better quality or more cost-effective care are also generally acceptable, provided that they are unilateral efforts.
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From page 35...
... If cooperation for the improvement of quality among competing managed care organizations is to be seriously advanced as a worthy idea, it is likely to require perseverance because giving voice to the importance of cooperation among competitors in the current U.S. health care situation can seem naive to many and even self-defeating.
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From page 36...
... One troubling conclusion from the Havighurst analysis permits group agreement among competitors to set standards but not to follow them. In health care, the common good or public health can be improved, if effective interventions are implemented universally, even by competitors.
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From page 37...
... Organized, risk bearing, provider care systems are emerging from a cottage industry of individual entrepreneurial health care professionals. Opportunities for collaboration exist in furthering public health and in conducting research.
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Key Terms

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  • antitrust enforcement
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  • improve quality
  • competing health
  • enforcement policy

  • immunization status
  • rare conditions
  • collaborative efforts
  • physician data
  • increased value

  • little meaningful
  • conditions undergoing
  • companies meet
  • care market
  • applicable antitrust

  • agencies consider
  • experimental therapy
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  • artery bypass
  • bruce mueller

  • provide strong
  • stifling competition
  • standard setting
  • immunization registry
  • raise significant


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