Managed Care

Links To Helpful Sites

• A Consumer Guide to Handling Disputes with your Employer or Private Health Plan: External Review

  Hawaii requires health plans to establish internal review procedures that provide a decision within 45 days, or within 72 hours if medical circumstances require an expedited review. The response from the health plan will explain how to apply for external review. You must exhaust the health plan’s internal review process prior to filing a request for external review. Content Detail

  By:

  Kaiser Family Foundation

• Boletas de Calificaciones

  This fact sheet will help you find and understand health plan report cards. It will also help you “to read between the lines” on report cards. Content Detail

  By:

  National Health Law Program

• ¿Cómo puede ayudarme esta información?

  updated link for spanish version of "Getting the best out of managed care" Content Detail

  By:

  National Health Law Program

• Comprenda las Medidas de Evaluación de la Calidad

  In order to figure out whether one health plan is better than another one, you need to have a way to measure each plan. Here you will learn what measurements are used to look at how well a health plan works. Content Detail

  By:

  National Health Law Program

• Consumer surveys

  This fact sheet help you find consumer surveys of health plans. It also gives you pointers on how to look at these surveys, get the information you need, and avoid getting misled by surveys. Content Detail

  By:

  National Health Law Program

• Encuestas de Consumidores

  This fact sheet help you find consumer surveys of health plans. It also gives you pointers on how to look at these surveys, get the information you need, and avoid getting misled by surveys. Content Detail

  By:

  National Health Law Program

• Figuring out which health care plan meets your needs

  Quality information about health plans can be overwhelming. This fact sheet helps you pick out the information that will be helpful to you. You will learn how to pick the health plan that best meets your needs. Content Detail

  By:

  National Health Law Program

• Getting the best out of managed care

  This fact sheet will help you understand how managed care works and how to choose the best health plan. Content Detail

  By:

  National Health Law Program

• Handling disputes with your employer or private health plan

  This guide will help you through your employer or private health plan's internal review procedure and any external review program your state may have. The guide is not for people who have Medicare or Medicaid coverage. Content Detail

  By:

  Kaiser Family Foundation

• Managed care rules, rights, and responsibilities

  Content Detail

  By:

  AARP

• Report cards

  This fact sheet will help you find and understand health plan report cards. It will also help you “to read between the lines” on report cards. Content Detail

  By:

  National Health Law Program

• Understanding Quality Measures

  In order to figure out whether one health plan is better than another one, you need to have a way to measure each plan. Here you will learn what measurements are used to look at how well a health plan works. Content Detail

  By:

  National Health Law Program

• What to ask health plans about care for your child with special health care needs

  Questions to guide you as you learn about a managed care plan and the needs of a child with special health care needs Content Detail

  By:

  Family Voices