The
following resources are associated with the topics discussed
in each webcast. For other resources, please click the Resources
navigation button on the left of your screen.
Session
Resources
March
22 , 1:30pm CST
Topic: Understanding, Accessing, & Appealing
Your Healthcare Benefits (Originally
webcast March 22, 1:30 pm CST.)
PowerPoint
Presentation (115kb): A summary of the
key points of the webcast session. Download or
view the original PPT file. To move through the
slides, simply press the Page Up or Page Down
button on your computer keyboard. To return to
this web page, click the Back button on the toolbar
on the upper, left corner of your computer screen.
You will need PowerPoint 95 to view this presention.
If you don't have either version of PowerPoint,
click the HTML
Version to view a slideshow version of
the presentation. To return to this page, select
the home button (second from the left) from among
the round slide navigation buttons.
Frontline
Online: This
is part of a PBS site on Health Maintenance Organizations.
"How to Challenge Your Plan's Decisions"
describes specific steps for the consumer to take.
(http://www.pbs.org/wgbh/pages/frontline/shows/hmo/)
Washington
Assistive Techology Alliance:
Discusses a variety of techniques that can
be used to get funding for assistive technology.
This process applies to all appeals of insurance
denials. (http://www.wata.org)
dr.koop.com:
Details how to challenge an HMO decision and how
to file a complaint. (http://www.drkoop.com/hcr/insurance/library/hmo_challenge.asp)
Defining
Medical Necessity- A manual on Strategies
for Promoting Access to Quality Care for Persons
With Developmental Disabilities, Mental Retardation,
and other Special Health Care Needs. Available
in print only for no cost from the National Maternal
and Child Health Clearinghouse in Vienna, VA.
(703) 356-1964.
http://www.nmchc.org
How
to Select a Health Plan for Your Family & Child with
Special Health Needs. (Originally webcast February
23, 1:30 pm CST.)
PowerPoint
Presentation: A summary of the key points
of the webcast session. Download or view the original
PPT file. To move through the slides, simply press
the Page Up or Page Down button on your computer
keyboard. To return to this web page, click the
Back button on the toolbar on the upper, left
corner of your computer screen. You will need
PowerPoint 95 to view this presention. If you
don't have either version of PowerPoint, click
the HTML
Version to view a slideshow version of the
presentation. To return to this web page, click
the Back button on the toolbar on the upper, left
corner of your computer screen.
Agency
for Healthcare Research and Quality: This
site provides a booklet, Choosing and Using
a Health Plan,
which helps you make sense of your choices in
health insurance.(http://www.ahcpr.gov/consumer/hlthpln1.htm)
National
Committee for Quality Assurance (NCQA):
Assesses and reports on the quality of managed
care plans. Check how your own health plan rates.
(http://www.ncqa.org)
Evaluating
Managed Care Plans for Children with Special Health
Needs: A Purchaser's Tool A tool to assist
families in selecting and evaluating the capacity
of health plans to serve children with special
needs. (http://www.ichp.edu/managed/materials/purchaser/)
Family
Voices: Read their introduction to Managed
Care for Children with Special Health Needs. Provides
hints on what to know before you sign up with
managed care. (http://www.familyvoices.org)
Opening
the Door on Disabilities: A Workbook for People
with Disabilities and Advocates: A
workbook that explains how managed care works
and how to get the health services you need. Available
in print only for $12.50 from Partners in Health,
c/o The Coordinating Center, 8258 Veterans Highway,
Suite 13, Millersville, MD 21108. (410-987-1048)
The
Basics of Managed Care. (Originally webcast January
26, 1:30 pm CST.)
PowerPoint
Presentation: A summary of the key points of the webcast
session. Download or view the original PPT file. To move
through the slides, simply press the Page Up or Page Down
button on your computer keyboard. To return to this web
page, click the Back button on the toolbar on the upper,
left corner of your computer screen. You will need PowerPoint
95 to view this presention. If you don't have either version
of PowerPoint, click the HTML
Version to view a slideshow version of the presentation.
The ABCs of Managed Care: An online, self-study training
module on the basics of managed care.
Managed
Care Online: Includes an online dictionary that contains
380 terms related to managed care.
Family
Voices: Numerous brochures and fact sheets on manged
care and children with special health needs are available
in both English and Spanish.
Healthcare
Insurance Guides for Consumers: Sponsored by the Health
Insurance Association of America, an insurance industry
trade organization.
