URAC: Difference between revisions

Revision as of 19:59, 8 February 2025

Overview

The Utilization Review Accreditation Commission (URAC) is a non-profit organization that promotes healthcare quality through the accreditation of healthcare organizations. Founded in 1990, URAC is based in Washington, D.C., and is recognized as a leader in promoting healthcare quality through its accreditation, education, and measurement programs.

History

URAC was established to offer an independent, third-party accreditation process for healthcare organizations. The organization was initially focused on utilization review, but over time, it expanded its scope to include a wide range of healthcare services. URAC's accreditation programs now cover areas such as health plans, pharmacies, telehealth, and more.

Accreditation Programs

URAC offers a variety of accreditation programs designed to improve the quality of healthcare services. These programs include:

Health Plan Accreditation: This program evaluates health plans on their ability to provide quality care and services to their members.
Pharmacy Accreditation: URAC accredits pharmacies to ensure they meet high standards of quality and safety.
Telehealth Accreditation: This program focuses on the quality and security of telehealth services.
Case Management Accreditation: URAC accredits organizations that provide case management services to ensure they meet industry standards.

Standards and Evaluation

URAC's accreditation process involves a rigorous evaluation of an organization's policies, procedures, and performance. The standards are developed by experts in the field and are designed to promote best practices in healthcare. Organizations seeking accreditation must undergo a comprehensive review process, which includes a self-assessment, an on-site review, and ongoing monitoring.

Impact on Healthcare

URAC's accreditation programs have had a significant impact on the quality of healthcare services. By setting high standards and promoting best practices, URAC helps healthcare organizations improve their services and outcomes. Accreditation by URAC is often seen as a mark of excellence and can enhance an organization's reputation and credibility.

Related pages

References

External links

Official URAC website

File:URAC logo.svg

The URAC logo

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-'''URAC''', formerly known as the '''Utilization Review Accreditation Commission''', is a nonprofit organization that promotes 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.
+{{Use dmy dates|date=October 2023}}
+{{Refimprove|date=October 2023}}
-== History ==
+==Overview==
+The '''Utilization Review Accreditation Commission''' ('''URAC''') is a non-profit organization that promotes healthcare quality through the accreditation of healthcare organizations. Founded in 1990, URAC is based in Washington, D.C., and is recognized as a leader in promoting healthcare quality through its accreditation, education, and measurement programs.
-URAC was founded in 1990 under the name Utilization Review Accreditation Commission. The organization was originally created to ensure the quality and fairness of utilization review, an area of healthcare that was rapidly growing at the time. Over the years, URAC has expanded its scope to include a wide range of healthcare services.
+==History==
+URAC was established to offer an independent, third-party accreditation process for healthcare organizations. The organization was initially focused on utilization review, but over time, it expanded its scope to include a wide range of healthcare services. URAC's accreditation programs now cover areas such as health plans, pharmacies, telehealth, and more.
-== Accreditation Programs ==
+==Accreditation Programs==
+URAC offers a variety of accreditation programs designed to improve the quality of healthcare services. These programs include:
-URAC offers accreditation programs in several areas of healthcare, including [[Health Plan|health plans]], [[Pharmacy|pharmacy benefit management]], [[Provider Network|provider networks]], [[Healthcare Management|healthcare management]], [[Health Website|health websites]], and [[Case Management|case management]]. These programs are designed to help healthcare organizations demonstrate their commitment to quality and accountability.
+* '''Health Plan Accreditation''': This program evaluates health plans on their ability to provide quality care and services to their members.
+* '''Pharmacy Accreditation''': URAC accredits pharmacies to ensure they meet high standards of quality and safety.
+* '''Telehealth Accreditation''': This program focuses on the quality and security of telehealth services.
+* '''Case Management Accreditation''': URAC accredits organizations that provide case management services to ensure they meet industry standards.
-== Standards ==
+==Standards and Evaluation==
+URAC's accreditation process involves a rigorous evaluation of an organization's policies, procedures, and performance. The standards are developed by experts in the field and are designed to promote best practices in healthcare. Organizations seeking accreditation must undergo a comprehensive review process, which includes a self-assessment, an on-site review, and ongoing monitoring.
-URAC's standards are developed by a committee of healthcare industry experts. The standards are designed to ensure that healthcare organizations are providing high-quality care and services. The standards cover a wide range of areas, including organizational structure, staff qualifications, service delivery, patient safety, and quality improvement.
+==Impact on Healthcare==
+URAC's accreditation programs have had a significant impact on the quality of healthcare services. By setting high standards and promoting best practices, URAC helps healthcare organizations improve their services and outcomes. Accreditation by URAC is often seen as a mark of excellence and can enhance an organization's reputation and credibility.
-== Recognition ==
+==Related pages==
+* [[Accreditation]]
+* [[Healthcare quality]]
+* [[Telehealth]]
+* [[Pharmacy]]
-URAC is recognized by state and federal regulatory agencies, including the [[Centers for Medicare and Medicaid Services|Centers for Medicare & Medicaid Services]] (CMS). URAC's accreditation is considered a mark of quality and is often required by insurers and other payers.
+==References==
+{{Reflist}}
-== See Also ==
+==External links==
+* [https://www.urac.org/ Official URAC website]
-* [[Healthcare Quality]]
-* [[Accreditation]]
-* [[Healthcare Management]]
-[[Category:Healthcare Quality]]
+[[Category:Healthcare accreditation organizations]]
-[[Category:Accreditation]]
+[[Category:Non-profit organizations based in Washington, D.C.]]
-[[Category:Healthcare Management]]
+[[Category:Organizations established in 1990]]
-{{stub}}
+[[File:URAC_logo.svg|thumb|right|The URAC logo]]