Joint Commission, URAC, Physician Consortium for Performance Improvement (PCPI), and the Agency for Healthcare Research and Quality, with all these groups coordinating in the National Quality Forum. A comparison of HEDIS metrics reported in 2006 and 2007 for Medicare Advantage and Medicare fee-for-service plans found a mixed picture. Unmanaged care The French healthcare system as it existed in the 1990s was cited as an "unmanaged" system, where patients could select their provider without the types of networks and utilization review found in the United States. Opposition to Managed Care Schemes in Australia In June 2021 Australian specialist doctors mounted a campaign to resist the introduction of US style managed care by health fund nib Health Funds in association with Cigna. See also Healthcare in the United States Health insurance in the United States Independent medical review Medical care ratio Medicaid managed care URAC References Health insurance Health care quality