Managed Care » Health Plans
The following are related categories found throughout the Libraries and Directories. Please click on the category to visit that category - a new browser window will open. Each library requires a seperate subscription.
- Health / Insurance : Disability insurance, health insurance, etc.
The most common reasons health insurance claims are denied. Common components of a group long-term disability contract. Questions and answers about STD/LTD insurance. Large collection of articles about disability and insurance issues. Insurance Company Credit Ratings - Life & Health - Standard & Poor's and Duff & Phelps Credit Rating Co.
- Health / Medicare : Beneficiary and consumer info
Medicare resources for consumers and beneficiaries. Consumer overview of Medicare coverages, answers to common questions, full text of the Medicare Handbook. Query database to determine the coverages provided by a specific Medicare Managed Care Plan.
- Managed Care / Performance Measures : Measures that evaluate the care provided to patients
JCAHO performance measures. ADA/NCQA Diabetes Measures. AHCPR’s CONQUEST. HEDIS. Health Care Quality Improvement.
- Managed Care / Report Cards : USQA Quality Reports. NCQA accreditation. CVO certification and more
JCAHO performance measurement ratings for healthcare facilities. USQA Quality Reports. NCQA Accreditation. HEDIS Report Cards. CVO certification. Health plan ranking reports.
- Health Cost Management / Health Plans : Managed care health plans, including Medicare & Medicaid
Managed care requirements in Medicare and Medicaid. Checkpoint comparisons of managed care health plans. American Association of Health Plans. Integrated Healthcare Association - California. What health plans should know about Clinical Practice Guidelines.
- Health Cost Management / Medical Report Cards : JCAHO, USQA Quality Reports. NCQA accreditation. CVO certification
JCAHO performance measurement ratings for healthcare facilities. HEDIS Report Cards. USQA Quality Reports. NCQA Accreditation. CVO certification. Health plan ranking reports.
- Health Cost Management / Performance Measures : Performance measures that evaluate the care provided to patients
JCAHO performance measures. ADA/NCQA diabetes measures. AHCPR's CONQUEST. HEDIS. Health care quality improvement. American Academy of Family Physicians Performance Criteria.
- Insurance / Health Insurance : Health insurance, disability insurance, etc.
Large collection of articles about disability and insurance issues. The most common reasons health insurance claims are denied. Common components of a group long-term disability contract. Questions and answers about STD/LTD insurance. Insurance Company Credit Ratings - Life & Health - Standard & Poor's and Duff & Phelps Credit Rating Co.
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