URAC Invites Public Comments for Provider-Based Population Health Management Certification v1.0 Standards

stethoscope with paper people on a table

WASHINGTON, DC – May 17, 2019 – Independent healthcare accreditor URAC opens the proposed Provider-Based Population Health Management Standards for public comment beginning on May 17, 2019, and ending June 14, 2019, at 8 p.m. Eastern Time.

These proposed standards form the foundation for recognition of providers and provider organizations engaged in the longitudinal management of the health of populations defined through payer contracts.

"[Healthcare] executives agree population health is the future," according to Dr. David Nash in the Numeroff & Associates 2019 Annual Survey Report. "As U.S. government policy grows more focused on moving to a value-based model, population health management will be increasingly seen as a key part of the solution for realigning the healthcare industry to deliver better care at lower costs."

"These URAC standards represent an opportunity for distinction among provider-led care delivery models that focus on population health and care coordination for improving the health of a defined segment or an entire population," said Shawn Griffin, URAC President and CEO.

Program standards for Provider-Based Population Health Management are organized into three focus areas:

  1. Population Health Risk Management
  2. Patient Centeredness in Clinical Management
  3. IT Capability

Standards for Risk Management center on a comprehensive population assessment that lead to service access and availability. The nine elements of performance pivot on ongoing care management for targeted conditions and service integration and collaboration. Leadership is also addressed in the standards as a recognized element for success. The focus on patient centeredness includes consideration of social determinants of health for program design and patient engagement. The final focus considers IT capabilities for decision support and analytics. Follow the link below to access a listing of the Population Health standards and elements of performance and submit your comments:


For more information about the URAC Provider-Based Population Health Management standards, contact URAC Product Development Principal Deborah Smith at 202-962-8802 or send an email to:  Program_Standards_and_Maintenance@urac.onmicrosoft.com.


About URAC

Founded in 1990, URAC is the independent leader in promoting healthcare quality through accreditation, certification and measurement. URAC is a nonprofit organization developing evidence-based measures and standards through inclusive engagement with a range of stakeholders who are committed to improving the quality of healthcare. Our portfolio of accreditation and certification programs spans the healthcare industry, addressing healthcare management, healthcare operations, health plans, pharmacies, telehealth providers, physician practices and more. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability. For more information, visit www.urac.org.