Genex has been accredited by URAC in Health Utilization Management since 1994, in Workers’ Compensation Utilization Management since 1996 and in Case Management since 1999. The best way to do that is through accreditation by an independent third-party organization. How long is the URAC accreditation cycle? Telehealth Digital Health Programs. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability. Professional Services Network provides expert consultation to companies seeking accreditation with URAC. However, we approve all extensions on a case-by-case basis. It’s a noble pursuit. In a complex industry, such as health care, there’s a lot at stake. Still have questions? They may be ready for accreditation, or, they may need to make a few adjustments first. URAC accreditation is not a rubber stamp; it’s an achievement you can be proud of. Helpful URAC Accreditation Information Information and Education. Is an accreditation transferable to another corporate entity in the event of a merger, acquisition in which the accreditation is no longer under control of the original applicant? Latest News & Updates. Most organizations complete the URAC accreditation process in 10-12 months. About URAC . The new offering joins the already-existing Small Specialty Pharmacy Offering, which URAC successfully launched in 2019. URAC’s accreditation process can take as little as four to six months. How is accreditation recognized? Does URAC accredit international (non-US) organizations? For more information, go to the Measurement web page. Please contact us at firstname.lastname@example.org. Reaccreditation involves the same process as your initial accreditation. You may add a site by working with your assigned Client Relations Manager to sign an addendum and pay an applicable fee. Genex and URAC. We have a marketing guide for clients that details instructions on how to display the accreditation seal. COVID-19 and URAC: What you need to know - URAC will continue make adjustments to our processes as guidance and recommendations are posted by the Centers of Disease Control and Prevention (CDC). We do not provide refunds for those organizations that do not earn accreditation. URAC accreditation is not a rubber stamp; it’s an achievement you can be proud of. Some standards don’t apply to our business, can we still apply and get accredited? However, we do have two programs with a two-year cycle (Health Content Provider and Health Website). Get stock quotes, news, fundamentals and easy to read SEC and SEDI insider filings. Some organizations find that consultants are helpful while pursuing accreditation, but this varies based on the readiness and resources of each organization. The placement of the seal should accurately convey to customers and payers what portions of your business are URAC accredited. Our consultants’ credentials include actual work experience as URAC accreditation surveyors. Accreditation is the process of rigorous review that allows health care organizations to demonstrate their ability to meet regulatory requirements and national standards established via a URAC stakeholder consensus process and recognized as key benchmarks for measuring the quality of an organization. We conduct monitoring reviews mid-cycle to confirm continued compliance with the standards. We look forward to answering them and making you comfortable with the process. With URAC by your side, you can demonstrate the highest standards of care through a collaborative and flexible accreditation process. That name was shortened to the acronym URAC in 1996 when we began accrediting other types of organizations such as health plans, pharmacies and provider organizations. 5 Steps to Achieving URAC Specialty Pharmacy Accreditation . What’s the difference between an accreditation and certification? Undertaking the accreditation process demonstrates your commitment to upholding and improving outcomes throughout the health care landscape. Organizations are provided accreditation certificates and are listed in the online URAC Directory of Recognized Companies. 202-216-9010, By providing your contact information through this Request a Quote form, you agree to be contacted by a member of our Business Development team. Payers, in particular, have a lot of skin in the game whenever it comes reimbursing for high-cost specialty medications, which can easily cost $100,000/year or more. You are required to submit a notice of change to us within 30 days of completion of any material changes. Is there a refund if we don’t get accreditation? You may unsubscribe from these communications at anytime. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, check out our, Mental Health/Substance Use Disorder Parity, URAC Leader Joins National Quality Forum Committee for Rural Telehealth, Liberty Mutual Reflects on the Benefits of URAC Accreditation, New URAC Small Mail Service Pharmacy Accreditation Offering Allows Small and Rural Pharmacies to Improve Quality for Millions of Americans, Pharmacy Policy and Practice: Coming Together for the Best in Patient Care Webinar. At this point, the business submits documentation of their current state of adherence to standards. 202-216-9010, By providing your contact information through this Request a Quote form, you agree to be contacted by a member of our Business Development team. URAC's new Small Mail Service Pharmacy accreditation offering joins the already-existing Small Specialty Pharmacy Offering, which launched in 2019. Health Net Federal Services has continuously held URAC’s Health Network Accreditation since 2005. Evolve with this rapidly changing field. About URAC Founded in 1990, URAC is the independent leader in promoting healthcare quality through leadership, accreditation, measurement and innovation. URAC recognizes the quality of more than 1,000 health care organizations through its programs. What makes URAC accreditation programs unique? You'll need to confirm your policies and procedures meet URAC standards. Washington, DC 20005 As such, we do not endorse or recommend the services of specific consultants. Where do you do business? Many of our reviewers have experienced URAC accreditation as a client in a past life. Catalyst Health Network is a URAC-accredited clinically integrated network of primary care physicians who have come together to provide high-quality care, helping communities thrive. You can find those details on each program page. URAC relies on multidisciplinary expert advisory groups from across health care to guide standard development and to inform the revision of existing programs. URAC, an independent, nonprofit organization, is a well-known leader in promoting health care quality through its accreditation, education, and measurement programs. We reserve the right to review the supporting information and determine next steps based on the unique circumstances of individual situations. For a detailed analysis of your organization’s specific needs, please contact us at email@example.com. You can find the most up-to-date information about our COVID response on our COVID news page. URAC accreditation is given to an organization for a period of up to three years. You may unsubscribe from these communications at anytime. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, check out our, Mental Health/Substance Use Disorder Parity. Since then, we only ever use the acronym as our company name. Our clients pursue accreditation for a variety of reasons. You can connect with a URAC business development executive who can get you started by sending an email to firstname.lastname@example.org or calling 202-326-3943. The new offering joins the already-existing Small Specialty Pharmacy Offering, which URAC successfully launched in 2019. Should I use a consultant to help with accreditation? We encourage you to proudly display it on your website, brochures, letterhead, even as part of your company’s email signature. That said, we recognize that mergers, acquisitions and sales are occurring daily in the health care industry. URAC Leader Joins National Quality Forum Committee for Rural Telehealth . Accredited Sites. Accreditation is non-transferable. Specialty pharmacies who achieve URAC’s Specialty Pharmacy Accreditation demonstrate the highest value in delivering enhanced clinical services to the many payers, manufacturers, and providers. If you have not received a copy of the Specialty Pharmacy Accreditation manual/guide, it can be accessed online by signing onto your URAC account at www.URAC.org. The renewal of our URAC accreditation is proof that Envision continues to integrate new ideas with a focus on quality, and that our approach improves cost and care for members, as well as health plans, labor groups and employers of all sizes." Recognizing that many health care organizations throughout the ecosystem have faced significant fiscal challenges during the pandemic, URAC made the decision to reduce the price of their accreditation to ensure that cost is not a barrier to improving health outcomes. URAC has established a new offering for small mail service pharmacies that are seeking accreditation in recognition that health care organizations of all sizes benefit from a URAC accreditation. Accreditation Information. It is key to recognize that the use of a consultant will not necessarily lead to accreditation. Some leaders and teams use accreditation to improve performance and demonstrate value. Celebrating its 30th anniversary in 2020, URAC is the independent leader in promoting health care quality through leadership, accreditation, measurement and innovation. We will be expanding into other accreditation services in the near future. We understand how important accreditation is to your company. It really depends on how readily available you have your documentation. About URAC . Certification is a process of review that allows health care organizations to demonstrate competency in the provision of high-quality care and services conforming to specified requirements that may address a specific health care issue, disease or condition. Box 358, Roseville, CA 95661. 1. Medical Cost Management Corporation 200 West Monroe Street, Suite 1850 Chicago, Illinois 60606 Showcase your commitment to the highest quality and safety standards. Arissa Cost Strategies 17310 Red Hill Ave., Ste. We do not have an independent process by which to evaluate the effectiveness of accreditation consulting services. Suite 900 What are the eligibility criteria to achieve URAC accreditation or certification? URAC is the independent leader in promoting healthcare quality through accreditation, certification and measurement. We primarily accredit organizations incorporated in the United States. The fee structure is different for each of our programs. This includes, but is not limited to, change in ownership, change of corporate name, change of address, and addition or closure of sites, as well as any claim, proceeding, or investigation by a government or regulatory entity. How long does the accreditation process take? "Quality policies and procedures are paramount as the price and complexity of medications rise. URAC's accreditation process timeline varies by program type, but our part of the process takes from four to six months. It’s critical for everyone involved to meet national standards for quality, accountability, consumer protection and other key areas. How do I start the re-accreditation process. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability. InterMed Glendale 700 N. Central Avenue 8th Floor Glendale, California 91203. URAC states that their accreditation programs are considered the premier choice in the industry, accounting for 64% of the votes for the program payers deem the “most important type of SP third-party accreditation.” Make no mistake, accreditation makes a difference. We look forward to answering them and making you comfortable with the process. It’s also a process that requires adherence to our rigorous standards, as well as your time and energy. These rigorous standards established by URAC for the management of provider networks align with our culture and long … If you’re currently going through the application process, talk with your Client Relations Manager if you think you need an extension. While the accreditation process is rigorous and requires a significant commitment from the organization, the comment we hear most after accreditation is achieved is, “Thank you for making us better.”. LEARN MORE. 3. Washington, DC, Jan. 11, 2021 (GLOBE NEWSWIRE) -- URAC, one of the country’s oldest and most prestigious accrediting organizations announced today that they have expanded their offerings for small mail service pharmacies, thereby opening the possibility for those organizations to earn accreditation to demonstrate their quality and commitment to outstanding patient outcomes. Accredited organizations are provided a URAC seal to post on their website. You also agree to receive email communications from URAC about products and services relevant to your inquiry. Home of the insider insights newsletter and the Canadian Insider Club which offers alerts and premium research. Accredited Sites. URAC … Attachment. Seeking accreditation is a big step for your organization. It varies for each accreditation and certification. RANCHO CORDOVA, Calif. , Jan. 6, 2021 /PRNewswire/ -- Health Net Federal Services, LLC, a wholly owned subsidiary of Centene Corporation (NYSE: CNC), announced today it has earned URAC accreditations in Health Utilization Management, Case Management and Disease Management. We are proud to employ an all-clinician staff of nurses and pharmacists with a passion for quality to conduct the accreditation review process. Some of our programs require annual reporting of measures by accredited organizations to demonstrate quality performance. Once the change has taken place, an organization should submit to us a notice of change, providing supporting information. A few months before your current accreditation expires, your Client Relations Manager will reach out to you to sign a new accreditation application agreement (AAA) and get you started on the next cycle. These reviews are generally conducted virtually with no cost to the organization. The application fee includes the desktop review, validation review, monitoring reviews, access to our accreditation guide, standard interpretations, and educational webinars to help organizations learn more about the process of accreditation. URAC … We’ll perform a validation review to confirm that the new site is compliant with the accreditation standards. To demonstrate that it met all 33 of URAC’s detailed clinical integration standards, Seattle Children’s Care Network submitted more than 1,000 pages of heavily annotated documentation and hosted an onsite review. We will work with you to make sure everything is in place so that your accreditation doesn't expire between cycles. Yes, you can. Contacts John Carvelli 949-223-8928 email@example.com Washington, DC 20005 How can I request to add a new site to my existing accreditation? Once that is established, you receive a pricing quote, then sign an accreditation application agreement (AAA). URAC was originally incorporated under the name Utilization Review Accreditation Commission. URAC finds it most beneficial to the accreditation process to interact directly with the owner of the operations, quality culture and outcomes being reviewed. 2. We rely on our multidisciplinary expert advisory groups from across health care to guide standard development. Genex served as the beta site for the Case Management Accreditation Standards, playing an integral role in their development. Still have questions? The first step is to determine your eligibility for the specific program you wish to be accredited for. 1220 L Street NW Why do organizations pursue URAC accreditation? We offer an online interpretations portal for individuals with specific questions to get a detailed answer in writing from a URAC reviewer. Accreditation is the process of rigorous review that allows health care organizations to demonstrate their ability to meet regulatory requirements and national standards established via a URAC stakeholder consensus process and recognized as key benchmarks for measuring the quality of an organization. I was just told I need to be accredited, how long does it take? In addition to positively impacting the quality and safety of care, there are additional benefits that may help you grow your business. Get stock quotes, news, fundamentals and easy to read SEC and SEDI insider filings. You will also have a desktop and validation review prior to receiving a decision on your accreditation status. Here are the answers to the most commonly asked questions we hear. Utilization Review accreditation Commission (URAC) is one of the two major organizations which accredit health plans on various healthcare quality measures.It is a Washington DC-based, nonprofit, independent organization founded in 1990, recognized by 46 states, District of Columbia, and 6 … You can learn more about our process by watching this video: We offer applicants many educational resources such as workshops and webinars as well as a detailed accreditation guide that outlines program standards and requirements. What resources are available to applicants? All new programs and revisions are posted for comment before release. We have a proven track record working with all types of health care organizations. However, our international accreditation services are growing with our digital health programs. When should I submit a “notice of change” for my URAC-accredited program? Provisional accreditation only applies to organizations that have not begun business operations, yet reflect compliance with URAC’s criteria through desktop review. If you have any trouble you can also contact URAC at (202) 216- 9010. What is the ROI of getting accreditation? "URAC accreditation shows that Elixir is a pharmacy benefit management organization able to adhere to standards that cover important aspects of care such as claims processing, developing proper drug formulary, and consumer access," said URAC President and CEO Shawn Griffin, M.D. Organizations are selected by random and notified in advance. URAC has established a new offering for small mail service pharmacies that are seeking accreditation in recognition that health care organizations of all sizes benefit from a URAC accreditation. Founded under the name Utilization Review Accreditation Commission in 1990, the name "was shortened to the acronym URAC in 1996 when it began accrediting other types of organizations such as health plans, pharmacies, and provider organizations". How does URAC protect my patients’ Protected Health Information (PHI)? Accredited organizations must also focus formulary decisions on the safety, efficacy and therapeutic need for drugs first, and focus on cost only after these considerations are met. Its most recent accreditation is effective July 1, 2017, to July 1, 2020. Company. Whether this is your first time going through the process or you’ve been managing the accreditation process for your organization for years, undoubtedly you have questions. URAC Accreditation Process 101 What Does It Take to Get Accredited? Contact us to learn more about how we can help you become the “gold star” standard. The result: programs with rigorous, evidence-based standards that set us apart as the “gold star” accreditor. Suite 900 Our accreditation committee, comprised of multidisciplinary health care experts from accredited organizations, review blinded applications and make accreditation decisions. And how do you help us market our accreditation? Please note that consultants are not allowed to be the point-of-contact for your organization or attend validation reviews. Most accreditations are awarded for a period of three years. Once an application is submitted, it usually takes about six months to complete an accreditation review and receive a determination. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality. 300 Irvine, California 92614 Accredited Sites. In addition, each applicant is assigned a Client Relations Manager as their URAC point-of-contact for guidance and questions. How should I display my accreditation seal? A pharmacy’s relationship begins with URAC when the business enters an agreement and pays the necessary fees for accreditation. URAC’s independent approach to accreditation sets us apart. Accreditation may be a regulatory or network requirement. During a validation review, your URAC reviewer may view PHI while observing operations, but he or she will not capture or copy any PHI data. They know that accreditation provides a standards framework to build a quality health service organization and allows for performance analysis to identify areas for improvement. 1220 L Street NW This is why we do our best to keep the process moving as efficiently as possible. Founded in 1990, URAC is the independent leader in promoting healthcare quality through leadership, accreditation, measurement and innovation. They use the measurement, reporting and monitoring requirements of accreditation to promote continuous quality improvement. “Health Net Federal Services is proud to maintain URAC’s Health Network Accreditation. Intermed Cost Containment Services Workers' Compensation Utilization Management - 7.3 . Accreditation & Measurement This section provides detailed information on URAC's accreditation programs and standards as well as URAC's measures, data analytics, and … “When these therapies are administered and used properly, they can provide critical relief of symptoms, or even a cure, for patients, and that justifies the cost,” says Bonome. You also agree to receive email communications from URAC about products and services relevant to your inquiry. Home of the insider insights newsletter and the Canadian Insider Club which offers alerts and premium research. Our team can help you find the right accreditation for your organization. We do not accept any documentation containing PHI. URAC … The only place for free North American stock rankings incorporating insider commitment. Intermed Cost Containment Services P.O. In the last decade, 4 accreditation agencies have emerged for specialty pharmacy accreditation: URAC, Accreditation Commission for Health Care (ACHC), The Center for Pharmacy Practice Accreditation (CPPA), and the Joint Commission. The only place for free North American stock rankings incorporating insider commitment.
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