... program as patients are supposed to use quality statistics to make informed plan choices. The chapter first analyzes policy documents that define the methods and administrative rationale for conducting quality measurement. It draws on the ethnographic research conducted at Acme. Much of the observation...

...This chapter discusses the everyday nature of health regulation through audit, performance management, and corrective action in Puerto Rico. It sheds light on the unstable side of private enterprise by retelling the stories of former employees of Acme—one of the leading Medicare managed care...