Quality, Cost Effectiveness

The WSMA encourages insurers and the payer to explore new and innovative options for health care coverage such as prepaying "wellness" and insuring "sickness." (Reaffirmed A-17)

The WSMA encourages investigating the feasibility of supporting state legislation to provide standards of efficacious utilization review and certification of companies providing UR services in order to maintain high standards. (Reaffirmed A-17)

The WSMA supports development of state-wide, acceptable technology assessment criteria that promote services that meet standards of efficacy and improved outcome but do not stifle innovation. (EC Rpt P, A-89) (Reaffirmed A-17)

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Abbreviations for House of Delegates report origination:

EC – Executive Committee; BT – Board of Trustees; CPA – Council on Professional Affairs; JC – Judicial Council; CHS – Community and Health Services