URAC

URAC

URAC logo

URAC, originally known as the Utilization Review Accreditation Commission, is an independent, nonprofit organization that promotes healthcare quality through its accreditation, education, and measurement programs. URAC offers a wide range of accreditation and certification programs to various healthcare organizations, including health plans, pharmacies, and provider groups.

History

URAC was founded in 1990 with the mission to advance healthcare quality through leadership, accreditation, measurement, and innovation. Over the years, URAC has expanded its scope to include a variety of healthcare services and programs, reflecting the evolving landscape of the healthcare industry.

Accreditation Programs

URAC provides accreditation for a diverse array of healthcare services. Some of the key areas include:

• Health Plan Accreditation: This program evaluates health plans on their ability to provide quality care and services to their members.
• Pharmacy Quality Management: URAC accredits pharmacies to ensure they meet high standards of quality and safety in medication management.
• Telehealth Accreditation: As telehealth services have grown, URAC offers accreditation to ensure these services meet quality and security standards.
• Case Management Accreditation: This program focuses on the quality of case management services provided by healthcare organizations.

Importance of Accreditation

Accreditation by URAC is a mark of excellence for healthcare organizations. It demonstrates a commitment to quality and continuous improvement. Accredited organizations are recognized for meeting rigorous standards that are designed to improve healthcare outcomes and patient safety.

Process of Accreditation

The accreditation process involves several steps:

1. Application: Organizations apply for accreditation in the specific program that suits their services. 2. Self-Assessment: The organization conducts a self-assessment to ensure they meet URAC's standards. 3. On-Site Review: URAC conducts an on-site review to evaluate the organization's compliance with the standards. 4. Decision: Based on the review, URAC makes an accreditation decision. 5. Ongoing Monitoring: Accredited organizations are subject to ongoing monitoring to ensure continued compliance.

Related Pages

• Accreditation
• Healthcare quality
• Telehealth
• Pharmacy
• Case management