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3 easy steps to begin your URAC accreditation

Obtain

the standards at the URAC store

Request

a consultation

Three Stages of Accreditation - Sign the agreement

Sign

the application agreement for accreditation

Program Updates

  • URAC’s revised Disease Management Accreditation program:
  • Aligns with industry best practices, which including digital health strategy and health equity concepts.
  • Includes streamlined format that supports six-month review process
  • Reduces document uploads by over 70%
  • Includes updated 2023 Foundational Focus Areas:
    • Risk Management
    • Operations and Infrastructure
    • Performance Monitoring and Improvement
    • Consumer Protection and Empowerment

Overview

URAC’s Disease Management Accreditation aligns with national efforts to prevent and control chronic diseases by improving individual health status. Our accreditation showcases your organization’s commitment to prevent chronic illness and slow or eliminate disease progression for those with diagnosed conditions.

Chronic diseases are among the country’s most common, costly and preventable health problems. According to the Centers for Disease Control and Prevention, 60% of Americans live with a chronic condition such as anxiety, diabetes, heart disease, stroke and cancer, and 40% have two or more conditions. Approximately 90% of total U.S. health care spending is associated with treating chronic illnesses.

 

Key Program Components

The foundation of a successful, comprehensive disease management program is rooted in medical and scientific evidence, clinical practice guidelines and replicable industry standards. Key components include prevention, early detection and timely interventions as well as an effective, proven methodology to measure the impact of such interventions – both clinically and financially.

Benefits of Accreditation

Which URAC accreditations are right for your organization?

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URAC’s Disease Management Accreditation shows that your organization has developed an engaging, multi-format patient communication and education approach to improve health outcomes. Additionally, URAC accreditation:

  • Documents your long-term investment in staffing, consumer engagement, quality management and continuous improvement to build healthier communities and address chronic illness
  • Enhances your credibility in controlling overall health care spending through more effective service utilization, medication adherence and compliance, leading to a reduction in emergency room visits and hospitalizations
  • Documents risk management oversight and review protocols that reduce liabilities, enhance data security and ensure regulatory compliance
  • Validates your disease management model and provides a practical framework for ongoing improvements

What to Expect

Within six months or less, we will collaborate with your team to create a flexible framework for continuous improvement in disease management. While our experts define the standards of excellence, they do not prescribe how organizations must meet those standards. URAC’s thorough approach stimulates innovation across the continuum of care through email, conference calls and educational webinars.

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

Standards-at-a-Glance
Measures-at-a-Glance

Who May Apply

Organizations providing disease management services for individuals with chronic illness which would include health plans, disease management companies and medical management companies should apply for Disease Management Accreditation.