Below are links to various organizations and websites relevant to the health insurance and managed health care industry. They are divided into seven loose categories, but not otherwise sorted within a category.
The Medicaid and CHIP Payment and Access Commission (MACPAC) is tasked with reviewing state and federal Medicaid and SCHIP access and payment policies and making recommendations to Congress, the Secretary of Health and Human Services (HHS), and the states on a wide range of issues affecting Medicaid and SCHIP populations, including health care reform.
Government Health IT, a governmental site focusing on IT issues, including standards, the EMR, a national IT network, and so forth.
The Office of the Inspector General (OIG) at The Department of Health and Human Services (DHHS), the agency that audits health organizations for such things as defrauding the government or violations of laws and regulations.
The Data Bank (Formerly known ast The National Practitioner Databank and The Healthcare Integrity and Protection Databank), focusing on maintaining provider data related to adverse actions, malpractice, fraud, etc. (Access to actual data is restricted).
The CMS Innovation Center (formerly the Center for Medicare & Medicaid Innovation or CMMI), a new branch of CMS created under the ACA to focus on identifying, testing and ultimately spreading new ways of delivering and paying for care in Medicare and Medicaid.
The Center for Consumer Information and Insurance Oversight (CCIIO) within CMS, responsible for ensuring compliance with ACA market rules, oversight of medical loss ratio rules, assistance to states in reviewing insurance rates, providing guidance and oversight for the state-based insurance exchanges, and compiling and maintaining data on insurance.
Healthcare.gov, the federal website portal for consumers to help them access and choose health insurance.
HealthFinder, a site maintained by HHS to provide health-related information to consumers.
U.S. Preventive Services Task Force (USPSTF), an independent panel of experts in prevention composed of primary care physicians, OB/Gyns, nurses, and behavioral health specialists. It keeps recommendations for preventive services up to date based on evidence-based medicine.
The Integrated Healthcare Association (IHA), a California organization focusing on collaboration between health plans, providers, employers and government to promote data transparency, pay-for-performance, and public health improvements.
National Quality Forum (NQF), a nonprofit organization that works to build consensus on national priorities and goals for performance improvement; endorses national consensus standards for measuring and publicly reporting on performance; and promotes education and outreach programs.