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Posts Tagged ‘URAC’

Salem, NH (PRWEB) April 10, 2014

Alicare Medical Management (AMM), a national leader in care management solutions that promotes cost savings and client satisfaction, is celebrating 20 years of meeting URACs quality-based standards.

URAC sets the industry standard for quality in the health care arena, so we are extremely proud to hold four URAC accreditations for our programs, says Claire Levitt, president of Alicare Medical Management. The fact we have met URACs quality standards for two decades reflects our undying commitment to providing top-tier services to our clients. AMM holds URAC-approved accreditation for its Utilization Management, Case Management, 24/7 Nurse Helpline and Independent Review services.

Receiving its first URAC accreditation in 1994 for the Health Utilization Management Accreditation Program, Alicare Medical Management has served as a resource and beta test site to URAC for several other URAC accreditation programs, including Case Management, Health Call Center, and Independent Review Standards.

By applying for and receiving URAC accreditation for 20 years, Alicare Medical Management has demonstrated a commitment to quality healthcare, says Kylanne Green, URAC president and CEO. Quality healthcare is crucial to our nations welfare and it is important to have organizations that are willing to measure themselves against national standards and undergo rigorous evaluation by an independent accrediting body.

URAC, an independent, nonprofit organization, is a well-known leader in promoting healthcare quality through its accreditation, education, and measurement programs. URAC offers a wide range of quality benchmarking programs and services that model the rapid changes in the healthcare system and provide a symbol of excellence for organizations to validate their commitment to quality and accountability.

Alicare Medical Management has helped URAC develop an array of quality standards over the years. According to Garry Carneal, JD, MA, former URAC president & CEO, Alicare Medical Management has been a leading innovator in the care management field for decades, so it was a natural fit to look to them to better understand emerging trends as URAC developed new accreditation programs. Among other contributions, Alicare Medical Management provided critical insights on how case management and 24/7 nurse triage programs should be run and operated when URAC was developing accreditation programs covering those activities.

URAC takes a collaborative, educational approach to accreditation. During the application process, customer service and support is available to provide assistance to applicants. New applicants are encouraged to attend a standards workshop where they can learn more about the standards and the process first hand. URAC accreditation requires applicants to submit policies, procedures and other organizational information to URAC followed by an onsite review. Once an application is received by URAC, a primary reviewer is assigned and coordinates all aspects of the review until completion.

For more information about AMM and its services, please contact Julie OBrien at (800) 863-8688.

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About Alicare Medical Management (http://www.alicaremed.com)

Alicare Medical Management (AMM), a member of the Amalgamated Family of Companies, is a national leader in developing care management solutions that promote cost savings and patient satisfaction. AMMs call center is open 24 hours a day, 365 days a year to provide maximum access and assure optimum program effectiveness. The companys services include: 24-hour Nurse HelpLine, Utilization Management, Maternity Management, Case Management, Disease Management, Health Coaching and Wellness, Independent Physician Review, Medical Claims Review and Hospital Bill Auditing. AMM holds four URAC accreditations for Utilization Management, Case Management, Health Call Center and Independent Review.

About URAC (http://www.URAC.org)

URAC, an independent, nonprofit organization, is a well-known leader in promoting healthcare quality through its accreditation, education, and measurement programs. URAC offers a wide range of quality benchmarking programs and services that model the rapid changes in the healthcare system and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire healthcare industry.







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Washington, DC (PRWEB) August 16, 2012

In a final rule published in the Federal Register on July 20, 2012, the Secretary of Health and Human Services nominated URAC to serve as an HHS recognized accrediting entity of Qualified Health Plan (QHP) issuers participating on Health Insurance Exchanges. The Affordable Care Act (ACA) mandates that Exchanges begin operation in all 50 states and the District of Columbia on January 1, 2014, and also requires that all QHP issuers wishing to participate on an Exchange obtain accreditation from any accrediting entity recognized by HHS.

The ACA, final rule, and subsequent HHS clarification make clear that:

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URAC Expands Patient Centered Health Care Home Program With Release Of Auditor Certification
URAC, a leading health care accreditation and education organization, announces the release of its Patient Centered Health Care Home (PCHCH) Auditor Certification. This extension of URAC’s overall PCHCH program will meet the needs of those entities whose responsibility will lie in independent auditing of health care home practices to determine their degree of successful achievement of the PCHCH …
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Vital Signs: State freezes enrollment, raises premiums, for health pool serving childless adults
The state Department of Health Services is freezing enrollment in the state’s BadgerCare Basic plan, which was set up less than a year ago to provide no frills health coverage to adults turned away from one of the state’s public health Medicaid programs.
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Vital Signs: State freezes enrollment for state health plan serving childless adults
The state Department of Health Services is freezing enrollment in the state’s BadgerCare Basic plan, which was set up less than a year ago to provide no frills health coverage to adults turned away from other of the state’s public health programs.
Read more on The Capital Times

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URAC Survey Reveals Trends In Medical Management
Preliminary results from a new survey by URAC, a national leader in health care accreditation, reveals that the medical management industry is continuing to focus resources on health information technology, but the ability of consumers to access their information on-line remains low due to the cost of developing appropriate web-portals and other business and security-related concerns…

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