The Challenge of Regulating Managed Care

Appendix B: Managed Care On-line Resources

Appendix B: Managed Care On-line Resources Compiled by Raj Gupta and Jeanne Kin Government Health Care Financing Administration http://www.hcfa.gov Statistics and published data concerning Medicaid and Medicare programs Associations American Association of Health Plans http://www.aahp.org/AAHP/index.cfm Information and statistics published by the major national trade association for managed-care organizations Association for Health Services Research http://www.ahsr.org Provides useful links for researchers National Committee for Quality Assurance (NCQA) http://www.ncqa.org/Pages/Main/index.htm Nonpro‹t accrediting body for managed-care organizations; information on health plan quality standards and accreditation Health Plan Employer Data and Information Set (HEDIS) http://www.ncqa.org/pages/programs/HEDIS/index..htm Links to information concerning HEDIS Physicians and Health-Care Professionals American College of Managed Care Medicine http://www.acmcm.org Nonpro‹t society offering educational programs for physicians and other healthcare professionals 201 American College of Physicians–American Society of Internal Medicine Managed Care Resource Center http://www.acponline.org/mgdcare/index.htm Managed-care resources for physicians provided through the nation’s largest medical specialty society American Board of Managed Care Medicine http://www.abmcm.org Offers certi‹cation program in Managed Care Medicine National Association of Managed Care Physicians http://www.namcp.com Nonpro‹t association serving the interests and needs of physicians working in managed care; promotes physician-directed managed health care. Physicians for a National Health Program http://www.pnhp.org Organization of physicians advocating a universal, comprehensive single-payer national health system Management and Policies Advisors for Health Care http://www.managedhealth.com Health-care consulting ‹rm; provides links to key industry sites Aon Healthcare Alliance http://www.aonalliance.com Peer discussion forum sponsored by health-care consulting ‹rm for health-care risk management, managed care, and HR consulting professionals to exchange ideas and solutions The Institute for Health and Productivity Management http://www.ihpm.org Nonpro‹t institute focusing on relationships between employee health and workplace productivity The Institute for Managed Care (Michigan State University) http://www.healthteam.msu.edu/imc Interdisciplinary center promoting education and study in the effective delivery of managed care; links for educators, legislators, administrators, health professionals , and students Kaiser Family Foundation http://www.KFF.org Philanthropy focused on health-care issues; useful links for health policy analysts 202 Appendix B Managed Care Information Center http://themcic.com Provides access to publications, on-line databases, and managed-care industry news Patient/Consumer Families USA Foundation http://www.familiesusa.org “The Voice for Healthcare Consumers” “Patient’s Guide to Managed Care” http://www.panpha.org/HMOGuide.htm Guide to Medicare Managed Care, produced by the Pennsylvania Association of Non-Pro‹t Homes for the Aging (PANPHA) National Organization of Physicians Who Care http://www.pwc.org Anti-HMO advocacy group news and views HMO/PPO Medical Insurance Breakdown “Consumer Protection Healthcare Handbook” http://www.DrAnonymous.com Anti-HMO site for patients, run by an anonymous practicing physician Publications The American Journal of Managed Care http://www.ajmc.com Home page of journal publishing peer-reviewed literature on health-care outcomes ; information for health-care professionals and health services researchers Managed Care http://www.managedcaremag.com Information for managed-care executives and physicians on health insurance and delivery issues Appendix B 203 ...