Public Health Laboratories and Health System Change . Concerns About Reporting


Another concern of PHLs is that MCOs' member-driven focus (rather than public health / population-driven focus) will reduce disease reporting and thereby hamper national disease surveillance activities. While we did not uncover any empirical evidence to support this contention, three PHL directors, two state epidemiologists, and a CDC official in laboratory systems expressed concern that MCOs may not be accurately reporting true infectious disease incidence in their populations to state health agencies (e.g., since they may be less inclined to test).