Health Care:

Limited State Efforts to Assure Quality of Care Outside Hospitals

HRD-90-53: Published: Jan 30, 1990. Publicly Released: Mar 2, 1990.

Additional Materials:


Office of Public Affairs
(202) 512-4800

Pursuant to a congressional request, GAO assessed state requirements relating to quality assurance for health care delivered by both freestanding providers and health maintenance organizations (HMO), focusing on: (1) licensing, inspection, and enforcement for 16 types of freestanding providers; and (2) inspection and enforcement activities for health maintenance organizations.

GAO found that: (1) states did not license or otherwise regulate most of the 16 types of freestanding providers; (2) state officials cited appeals processes and the lack of intermediate sanctions as impediments to imposing sanctions; (3) state officials expressed concern about the adequacy of their oversight and licensing efforts; (4) while most states received complaints regarding freestanding providers' quality of care, only half had systems for resolving such complaints; (5) states' plans for expanding licensing requirements to unlicensed providers are limited; and (6) while 22 states had on-site inspection programs for HMO, only 2 states levied sanctions against HMO from 1985 through 1987.

Oct 4, 2017

Oct 3, 2017

Sep 29, 2017

Sep 13, 2017

Sep 12, 2017

Sep 8, 2017

Sep 7, 2017

Looking for more? Browse all our products here