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Quality Inc.

Medicare contracts with private groups called Quality Improvement Organizations — one in each state plus the District, Puerto Rico and the U.S. Virgin Islands — to measure health care quality, work with doctors and hospitals to improve care, and investigate patient complaints.

Consumers say QIOs are difficult to contact and rarely uphold their complaints ... The number of sanctions QIOs recommend against doctors each year has plummeted as the groups have shifted their mission to work more closely with doctors and hospitals.
SOURCES: Annual medical services review reports and Post analysis (complaints); Department of Health and Human Services (sanctions); QIO tax returns (pay packages) | THE WASHINGTON POST
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