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Here is a list of resources from the CONFERENCE BOARD
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Business Coalitions-In many locations, employers have formed health coverage purchasing coalitions. Some coalitions purchase health coverage in bulk, thereby maximizing their purchasing power. Others simply join together to rate and evaluate local health plans. Ask your local Chamber of Commerce or business association if there is an employer health care coalition in your community. Or contact the National Business Coalition on Health at (202) 775-9300. | |
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Health Insurance Brokers, Agents, Consultants-Many businesses use brokers, agents or consultants to buy their insurance. These agents can provide insight into the quality of care being provided by each plan and can help you evaluate your plan options. | |
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Health Plan Evaluations-Several independent organizations conduct in-depth evaluations of local health plans. These include Washington's and San Francisco's Consumer CheckBook, and national media organizations, such as U.S. News and World Report and Consumer Reports. However, before relying on these reports, be sure the criteria used in their evaluations are consistent with what is important to you and your employees. | |
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Professional and Trade Associations-Many professional and trade associations can provide consumer information on health plans. Depending on your need, consider contacting the American Association of Health Plans (AAHP), the Health Insurance Association of America (HIAA), the American Medical Association (AMA), or other medical specialty boards for information. | |
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Accreditation Organizations-The following organizations may have already evaluated the plans you are considering. Call or check their websites for more information: |
| National Committee for Quality Assurance (NCQA)-Accredits
managed care organizations, particularly HMOs and POS plans, and is
responsible for developing HEDIS. 2000 L Street, NW Suite 500 Washington, DC 20036 (202) 955-3500 www.ncqa.org |
| American Accreditation HealthCare Commission/URAC-Administers
seven accreditation programs for utilization review and managed care
organizations, particularly PPOs. 1275 K Street, N.W.Suite 1100 Washington, DC 20005 (202) 216-9010 www.urac.org |
| Joint Commission on Accreditation of Healthcare
Organizations (JCAHO)-Accredits mainstream
health delivery systems, such as clinics, hospitals and other medical
facilities. One Renaissance Blvd. Oakbrook Terrace, IL 60181 (630) 916-5600 www.jcaho.org |