EmblemHealth (HIP) URAC Accreditation
HIP’s Commercial PPO products received URAC Accreditation in Health Utilization Management. URAC’s Health Utilization Management Accreditation standards provide assurance to patients, providers, purchasers, regulators and employers that the practices of the organization performing these services are fair and equitable for all parties.
The URAC Health Utilization Management standards establish consistency in UM processes. The standards ensure that appropriately trained clinical personnel conduct and oversee the utilization review process, that a reasonable and timely appeals process is in place, and that medical decisions are based on valid clinical criteria.
Achieving Health Utilization Management Accreditation demonstrates EmblemHealth’s commitment to quality health care.
URAC, an independent, nonprofit organization, is well-known as a leader in promoting health care quality through its accreditation and certification programs. URAC offers a wide range of quality benchmarking programs and services that keep pace with the rapid changes in the health care 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 strives to ensure that all stakeholders are represented in establishing meaningful quality measures for the entire health care industry.
For more information, please visit www.urac.org.