TABLE 1

ALTERNATIVE FORMS OF ACCOUNTABILITY
AUTONOMY
SOURCES OF CONTROL Low High

External

 LEGAL

(Balanced Budget Act of 1997; Medicare Review Board, as proposed)

 POLITICAL

(Government Performance and Results Act of 1993; Social Security Advisory Board, created 1994)
HIERARCHICAL

(HCFA(now known as CMS) reports to Secretary of HHS;MBA and HCFA(now known as CMS) report to Secretary of HHS, as proposed)

 PROFESSIONAL

(National Performance Review; Office of the Actuary, HCFA(now known as CMS))

Internal

 HMOs Mandates
Hospitals Accreditation Can Substitute for Licensing

Where to?

Table of Contents

Home Pages:
Office of Health Policy (HP)
Assistant Secretary for Planning and Evaluation (ASPE)
U.S. Department of Health and Human Services (HHS)

Last updated January 22, 2001