Introduction It has been acknowledged that there is a strong correlation between healthcare cost and quality. Researchers note that public as well as private healthcare agencies contribute to improvement of quality of healthcare services provided and reduction of costs (Barker & DeNisco, 2012). However, their effort and impact is quite different due to peculiarities of the two types of agencies. It is possible to examine the way particular agencies affect the development of quality of medical services to understand the difference between the role of private and public agencies in the process. The two agencies to be considered are Agency for Healthcare Research and Quality (which is public) and Health First (which is private). Roles and Activities of the Agencies It is possible to note that the two agencies claim that they focus on development of healthcare system locally and nationwide. Thus, AHRQ (Agency for Healthcare Research and Quality) takes part in various projects and incentives that are aimed at research and development of healthcare in the USA ( AHRQ annual highlights, 2013). For instance, the agency implements a wide range of researches that helps practitioners, patients, officials and other stakeholders and provides detailed information concerning the quality of healthcare services. One of such contributions is the AHRQ Quality Indicators TM Toolkit for Hospitals that helps hospitals to improve the quality of services provided. It is important to note that the agency operates nationwide and the information (results of surveys, latest news on research, funding and so on) is always available free online. As for the private agency, Health First strives to contribute to development of healthcare services in Florida and especially in Brevard County ( About us, 2015). The agency provides healthcare services (including some not-for-profit incentives) to people and keeps training its staff, and invests into research to improve the quality of services provided. Current and Projected Initiatives As has been mentioned above, both agencies take part in and launch various initiatives. For instance, the AHRQ issued a report on savings associated with the Affordable Care Act in relation to individual health insurance ( AHRQ annual highlights, 2013). The report shows benefits of the act as well as its shortcomings. The report also contains certain recommendations. Admittedly, such surveys and reports enable officials as well as healthcare professionals to benefit from the act and implement the necessary changes. However, it is important to add that the agency has quite limited resources and cannot cover all spheres or have the necessary influence on policy makers. The agency depends on funding from the government and other organizations. This limits the reach of the agency and makes its incentives less efficient. It also has quite limited effect on costs as high-quality medical services remain quite costly and the agency can only partially (and quite insignificantly) reduce them through issues free reports and toolkits as well as various informative materials. When it comes to the private agency, it has quite significant resources to invest into improvem