The latest on managing care, value-based care, insurance markets, payers & providers

AMAP in Limbo; When Will Quality Really Catch Fire?

The AMA is evaluating how and whether to proceed with its physician accreditation program, which has been unable to gain attention from health plans and hospitals. Credentials verification and site reviews will be completed for physicians who have applied for AMAP certification, but no new applications are being accepted for now.

The goal was for AMAP to relieve health plans of duplicative credentialing processes; eventually, AMA hoped to create an infrastructure to allow comparisons of clinical quality. But AMAP has lured fewer than a dozen clients, prompting one AMA board member to question whether the issue of quality truly resonates.

Whether Americans are paying attention to so-called report cards is still an open question. A Society of Actuaries study concludes that managed care enrollees don't rely on HEDIS or other barometers of quality to choose health coverage. The society acknowledges, however, that the influence of other potentially important variables — such as family members' opinions of plans — on their selections, and the degree to which those variables overpower quality considerations, is not understood.

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

  • Doug Jones and the ACA, Epic misses a White House meeting, and man caves for man-flu sufferers
  • CVS-Aetna deal may trigger merger mania, Johns Hopkins criticized for lack of asthma prevention, & Columbia sees free-ride future for all of its med students

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.