Standards--setting rules in the game.
In negotiations for managed care contracts, payors have the stronger position; care providers need their business and often make promises that may later cause them problems. Payors don't known the minimum needs or maximum limits for care--if providers don't establish these baseline standards for care, and all agree to abide by them, some providers will continue to try to provide more with less and may compromise quality of care as a result.
Guidelines as Topic↗