- Program Overview
- Standards Summary
- Standards At-a-Glance
- Accredited Companies
- URAC's Accreditation Process
Disease Management Accreditation Program Overview
Focusing the right resources at the right time to achieve the best outcomes for patients with chronic disease is more than just good medicine. It’s good business. That’s why disease management (DM) has become such a critical component of today’s health plans. How can you be certain that your DM program is achieving its full potential? URAC’s Disease Management Accreditation and Certification programs provide a comprehensive benchmarking system.
Built on the standards developed with a committee of disease management
experts, URAC’s program equips disease management organizations
with the tools needed to promote quality and better assess and respond
to the needs of health plan members. The URAC DM standards promote:
- Evidence-based practice
- Collaborative relationships with providers
- Consumer education
- Shared-decision making with consumers
URAC’s DM standards are not disease specific. They apply to
all types of organizations providing services for individuals with
chronic illnesses – including health plans, stand-alone DM
organizations and medical management organizations. And because
URAC’s accreditation program is based on structure and process,
we can accredit any DM program. Additionally, companies that are
vendors to disease management organizations and programs are eligible
for DM Certification.
Our Proven Approach
URAC works one-on-one with each organization to create a tailored
program from the ground up – a program that is fully documented,
employs a valid evaluation process, reports on its performance,
seeks provider feedback and respects consumers. Coupled with the
Core Standards, URAC’s DM standards help ensure that DM organizations:
Implement a process to assess the health condition of each participant, taking into account cases where more than one chronic health condition may be present.- Conduct assessments according to a standard process; and, based on assessment results, implement interventions designed to respond to the specific health needs of the patient.
- Employ evidence-based decision-support tools that are reviewed and updated annually.
- Ensure that patients have telephonic access to its staff to provide answers to questions about the DM process and to provide direction in emergency medical situations.
Find out more about URAC’s Disease Management Accreditation
and Certification Programs. Visit
www.urac.org or contact URAC’s Client Services Department
at (202) 216-9010 or
businessdevelopment@urac.org.