The URAC Difference

URAC Accountable Care Accreditation ensures that ACOs adhere to excellent operational, contracting, staffing and clinical standards while pursuing these goals and have a solid, yet flexible framework that evolves with the program’s growth.

URAC takes a unique approach to ACO accreditation. Rather than focusing solely on Medicare requirements, we build upon the Medicare framework of clinical integration to include total population health and care coordination, truly putting the patient at the center of service delivery. Understanding the intrinsic value of integrated care, URAC also includes key behavioral health components and specific measures in our Accountable Care Accreditation standards.

This approach applies to all ACO models, regardless of payer source – Medicare, Medicaid or commercial insurers.

Benefits of Accreditation

After experiencing a sharp increase over the past few years, continued ACO growth is steady and, with it, comes increasing competition. URAC Accountable Care Accreditation enhances your credibility and boosts your ability to remain competitive. Additional benefits of accreditation include:

  • Validation of your chosen risk management, contracting, payment and oversight strategies that position the ACO for productive provider collaboration and long-term success
  • Strengthening of care coordination, case management and quality management processes across provider types and services, including behavioral health
  • The ability to execute timely patient engagement and communication strategies that increase preventive and follow-up care, wellness and patient satisfaction
  • Demonstration of system reliability and provider profitability through value-based contracting, operational efficiencies, quality outcomes and reduced costs
  • Establishment of a practical framework for ongoing improvements in infrastructure, clinical innovation and health information technologies

We developed our Accountable Care Accreditation in consultation with leading health care experts, including providers, administrators, consumer organizations, insurers and academics. We identified industry best practices in areas such as risk management, quality and coordination of care, health literacy and consumer empowerment, regulatory compliance and health information technology.

What to Expect

Within six months or less, our experienced team works with you to assess your ACO business model and operational readiness. We also help position the ACO for sustainable growth. While we define the standards of excellence for accountable care, we do not prescribe how organizations must meet those standards.

URAC’s approach stimulates innovation across the continuum of care through email, conference calls and educational webinars.

We award ACO accreditation for a full three years and we require annual reporting of quality measures. Download our Standards-at-a-Glance and Measures-at-a-Glance for more information.

Who May Apply

Accountable Care Accreditation is available for provider groups, such as multi-specialty, primary care practice groups and clinics, Independent Practice Associations and Physician-Hospital Organizations and integrated delivery systems.