Whether the company has received accreditation from one of the organizations who rates managed care companies based on specific standards of operation. General information on the insurer including the number of people covered under their plans, customer service numbers and hours, the products that they sell in Maine, and a web site address, if available. The information in this brochure was reported to the Bureau of Insurance by the companies themselves and has not been edited. Consequently, this information should be just one tool that you use when you evaluate health insurers. A company receives accreditation when they meet specific standards established by the rating organization.
Several organizations perform reviews and have specific accreditation standards.
The organization's primary activities are to assess and report on the quality of the nation's managed care plans. NCQA is governed by a Board of Directors that includes employers, consumer and labor representatives, health plans, quality experts, policy makers, and representatives from organized medicine. NCQA s accreditation program, includes selected performance measures in such key areas as member satisfaction, quality of care, and access to needed care with good customer service. URAC s membership includes representation from people affected by managed care - employers, consumers, regulators, health care providers, and the workers compensation and managed care industries. Member organizations of URAC participate in developing standards and can be part of the Board of Directors.