Strategic opportunities in the oversight of the U.S. hospital accreditation system

Maurice L. Moffett, Robert O. Morgan, Carol M. Ashton

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


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).

Original languageEnglish (US)
Pages (from-to)109-115
Number of pages7
JournalHealth Policy
Issue number1
StatePublished - Jan 1 2005


  • Accreditation
  • Double moral hazard
  • Hospital regulation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy


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