Strategic Opportunities in the Oversight of the U.S. Hospital Accreditation System
Abstract
Hospital accreditation and state certification are the means that the Centers for Medicare & Medicaid Services (CMS) employs to meet quality of care requirements for medical care reimbursement. Hospitals can choose to use either a national accrediting agency or a state certification inspection in order to receive Medicare payments. Approximately, 80% of hospitals choose the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The purpose of this paper is to analyze and discuss improvements on the structure of the accreditation process in a Principal-Agent-Supervisor framework with a special emphasis on the oversight by the principal (CMS) of the supervisor (JCAHO).
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Loss of accreditation for hospitals can lead to damage to hospitals' image and patients' trust, and loss of eligibility for federal funding and insurance reimbursement from Medicare and Medicaid, impacting financial stability.
“The loss of accreditation for hospitals can lead to severe consequences, including damage to hospitals’ image and to patients’ trust [352], and loss of eligibility for federal funding and insurance reimbursement from Medicare and Medicaid, which can impact their financial stability [353,354].”
From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [353]
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Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors
Yen, C., Epling, J. W., Rockwell, M., & Vaughn-Cooke, M. (2026) · Diagnostics · doi:10.3390/diagnostics16020347 · Cited by 6 · see citing works
- Authors
- Moffett, M. L., Morgan, R. O., & Ashton, C. M.
- Affiliations
- Michael E. DeBakey VA Medical Center (US)
- Corresponding author
- Moffett, Maurice L.
- Venue
- Health Policy
- Publisher
- Elsevier BV
- Published
- 2005-12
- Volume
- 75
- Issue
- 1
- Pages
- 109-115
- ISSN
- 0168-8510 (ISSN-L)
- OpenAlex
- W2037023950
- Cited by
- 12
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 1 · 2019: 1 · 2016: 1 · 2014: 1 · 2013: 1
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Policy (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- American Hospital Association
- Topics
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Health Sciences › Health Professions › Health Information Management › Healthcare Regulation
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- hospital accreditation, state certification, Joint Commission, Centers for Medicare and Medicaid Services, Medicare reimbursement, quality of care
- MeSH terms
- Accreditation, Hospitals, Joint Commission on Accreditation of Healthcare Organizations, United States, Government Regulation
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