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CMS Renews URAC’s Deeming Authority as Accreditation Organization for Medicare Advantage HMOs and PPOs

Wednesday, May 30th, 2012

Status streamlines the accreditation review process for clients seeking accreditation for both commercial and Medicare Advantage plans.

Washington, DC – The Department of Health and Human Services’ Centers for Medicare & Medicaid Services announced the decision to renew the Medicare Advantage “deeming authority” of URAC for Health Maintenance Organizations and Preferred Provider Organizations for a term of six years.  This new term of approval is effective May 26, 2012, through May 25, 2018.
Medicare Advantage plans are health plans offered through private insurance companies that most Medicare beneficiaries can join. “Deemed status” is official recognition by the nation’s largest third-party payer (517 Medicare Advantage plans now enroll more than 7 million Medicare beneficiaries) that URAC accreditation meets or exceeds CMS’s own regulatory standards for plan quality in six areas for Medicare Advantage HMOs and Medicare Advantage local PPOs:

  • Quality assessment and improvement;
  • Access to services;
  • Provider participation;
  • Advance directives;
  • Information about anti-discrimination; and
  • Confidentiality and accuracy of enrollee records.

URAC’s Health Plan Accreditation program is a widely recognized symbol of excellence in the commercial arena, and through the Medicare Advantage Deeming Program that mark of excellence is now available to plans in the Medicare arena. URAC’s CMS deemed status streamlines the accreditation review process for clients seeking accreditation for both commercial and Medicare Advantage plans, allowing health plans to efficiently accomplish both commercial and Medicare books of business in one accreditation survey without multiple visits for each plan.

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For 25 years, URAC has been the independent leader in promoting health care quality through accreditation, education, and measurement. URAC offers a wide range of quality benchmarking programs that reflect the latest changes in health care and provide a symbol of excellence for organizations to showcase their validated commitment to quality and accountability. URAC’s evidence-based measures and standards are developed through inclusive engagement with a broad range of stakeholders committed to improving the quality of health care.

For more information about URAC, contact us.

Interested in accreditation?
Contact businessdevelopment@urac.org

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