The URAC Difference

Our standards provide the framework to effectively build and deploy a population health program. With URAC Accreditation, provider organizations validate they have developed and implemented a comprehensive solution that covers all aspects of a population health management program, not just one or two components. Using population health strategies to provide high-quality, cost-effective care improves outcomes and brings near- and long-term success for both payers and patients.

URAC accreditation also affirms that your organization’s program extends beyond clinical care to address patient engagement, behavioral health and social determinants of health such as nutrition, housing, employment status, education and patient support systems.

URAC’s Provider-Based Population Health Accreditation enables organizations to demonstrate their approach to achieve the quadruple aim:

  • Enhancing the patient experience of care (including outcomes, quality, safety and satisfaction)
  • Improving health outcomes
  • Improving the satisfaction of health care workers
  • Reducing per capita cost of health care

What the Standards Address

URAC’s three-year Provider-Based Population Health Accreditation standards address the following key factors for success in population health:

  • Organizational Leadership
  • Population Health Risk Management
  • Quality Management
  • Network Analytics
  • Participating Provider Requirements
  • Patient Centeredness in Clinical Management
  • Information Technology Capabilities
  • Total Health Principles
  • Integrated Behavioral Health
  • Social Determinants of Health

View our Provider-Based Population Health Accreditation Standards-at-a-Glance.

In six months or less, URAC will collaborate with your team to assess your population health business model and create a flexible framework for continuous improvement. While our experts define the standards of excellence for accountable care, they 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.

Who May Apply

Provider organizations with a care delivery model focused on population health and care coordination should apply.