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Health System Performance Measurement: New Zealand and Maryland

July 01, 2005

In this report, Ian Axford Fellow John O'Brien, former director of acute care policy at The Hilltop Institute (as the Center for Health Program Development and Management), compares performance measurement in the New Zealand health care delivery system with performance measurement in HealthChoice, Maryland's Medicaid managed care program. As illustrated by these two health care delivery systems, performance measurement is likely to be an evolving set of metrics that can be applied for a variety of purposes. Indeed, performance measurement offers a window into the biases and thought processes of policymakers and offers important lessons for health care delivery.

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