What is a measurement year?+ Details
A measurement year is the first calendar year following the year in which an organization receives URAC accreditation.
What does the organization have to do during the measurement year?+ Details
Organizations are required to prepare their data systems and collect data for that calendar year.
Where can I find the data my organization should be collecting in the reporting year?+ Details
The reporting instructions and templates can be accessed through AccreditNet or you can send a request to your Account Manager or by emailing ResearchMeasurement@urac.org
What is a reporting year?+ Details
The reporting year is the year following the measurement period and when organizations report the measures values collected during the measurement period.
When does the measures portal open and close during the reporting year?+ Details
The measures portal is open from July 1st through September 30th. No extensions for submitting data after the portal closes will be granted. *Note: This policy is under review and subject to change, in particular, URAC may require submittal of data in quarter one of reporting year.
If my company is accredited in 2016 when will my company report?+ Details
If your company was accredited under a product version with measures your company is required to report in 2018.
What will my company be reporting in 2016+ Details
Your company will be required to report measures data for the 2015 measurement period. This includes measure values collected between January 1, 2015 and December 31, 2015 unless otherwise noted in the measurement specifications.
For organizations that are accredited for Health Plan or Health Plan with Health Insurance Marketplace, this includes measure values collected for the following calendar years: 2015 (required), and 2014 (required, if available).
Does my data need to be audited?+ Details
Clients accredited for Health Plan, Health Plan with Health Insurance Marketplace and Pharmacy Quality Management® programs are required to have their measurement data audited. Pharmacy programs began submitting audited measure data in 2016 and health plan programs will be required to submit audited data to URAC beginning in 2017.
When will the measure specifications be made available?+ Details
Every year, URAC reviews the current list of measures to determine if a measure needs to be updated, or retired. Updated measure specification documents will be available every October 1st and will be applicable to the up-coming reporting period. The updated specifications can be found in the resources tab of AccreditNet.
How does measurement support quality improvement?+ Details
As the health delivery and reimbursement landscape evolves toward rewarding value and quality with federal laws such as MACRA, it will be critical for organizations to focus on performance improvement and outcome measurement. Quality needs to become quantifiable, standardized, measured, and reported. But it takes significant investment in infrastructure and resources to support valid and reproducible quality measurements and outcomes.
URAC has invested in research to provide our clients with performance measures that offer a comprehensive snap-shot of health care quality and benchmarks to allow comparisons with other organizations.
What accreditation programs require reporting of measurement data?+ Details
Comprehensive wellness, case management, disease management, all pharmacy programs (pharmacy benefit management, drug therapy management, mail-service pharmacy, specialty pharmacy and community pharmacy), health plan, and health plan with health insurance marketplace. Measures will also be introduced into new or developing programs, such as PCMH, ACO and TeleHealth.