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Commercial, Medicaid HMO members receive unequal care
Medicaid managed care members appear to receive lower-quality care than individuals enrolled in commercial health plans, according to researchers from Harvard Medical School in Boston and the National Committee for Quality Assurance (NCQA) in Washington, DC. The findings, derived from NCQA Healthcare Effectiveness Data and Information Set (HEDIS) indicators and published in the Journal of the American Medical Association,1 suggest that the type of health plan enrolling the population is a less important determinant of the quality of care than differences in the characteristics of the population being served.