Likewise, physician groups and hospitals can expect to experience delinquent payments from a troubled health insurer, sometimes giving way to an outright default on their payments. And every employee that becomes dissatisfied with the quality of his or her healthcare magnifies the headaches for employers, especially employee benefits managers.
That's
why it is critically important to periodically monitor the financial condition
of each health insurer with whom you have a relationship. It is also critical
to know that you can count on your insurer to expedite your information
and claims in a timely manner. To that end, the following links will provide
you different perspectives, to help you in your evaluation.
NCQA
NCQA produces a Health
Plan Report Card. It is an interactive tool designed to help you find
the health plan that's right for you. NCQA sets standards for the quality
of care and service that health plans provide to their members. Health
plans that meet their standards receive NCQA Accreditation, which is nationally
recognized as a seal of approval.
Weiss
Ratings Inc.
Weiss Ratings Inc. rates HMOs and health insurers according to their financial
strength as a company:
A.M.
Best
A.M. Best also assess insurers' financial strength, to provide an opinion
of an insurer's financial strength and ability to meet ongoing obligations
to policyholders.
Fitch
Ratings
Fitch Ratings provides an opinion on the ability of an entity or of a
securities issue to meet financial commitments, such as interest, preferred
dividends, or repayment of principal, on a timely basis.
Health
Grades
Health Grades provides, for purchase, reports on the quality of nearly
every physician, hospital, and nursing home in the country
These sites are independent of eHealthInsurance Services, Inc. which does not receive any funds from these rating organizations. eHealthInsurance Services, Inc. and its affiliates disclaim any responsibility for the content of these sites.
