Disease Management Accreditation

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Chronic diseases are among the most common, costly and preventable health problems. According to the Centers for Disease Control and Prevention, half of all U.S. adults have one or more chronic conditions, and one in four adults have two or more. Approximately 71 percent of total U.S. healthcare spending is associated with treating people with more than one chronic condition.

URAC’s Disease Management Accreditation aligns with national efforts to control chronic diseases and co-morbidities by improving and/or maintaining an individual’s health status. The accreditation standards foster the development of a comprehensive program that supports consumer, family and care engagement, improved health outcomes, and consumer satisfaction.

The URAC-accredited disease management program:

  • Uses disease management interventions based on medical or scientific evidence or clinical practice guidelines
  • Works collaboratively with practicing providers to develop and update the program
  • Communicates with treating providers to support quality of care and care coordination
  • Educates and empowers consumers in appropriate self-care, shared decision making, and knowledgeable use of medications
  • Conducts disease management staff ethics training, including advocacy for consumer needs
  • Solicits feedback from participating consumers
  • Meets rigorous standards that represent industry best practices
  • Identifies, tracks, and reports on outcome measures to ensure continuous performance improvement
  • And more

Download our Disease Management Standards-at-a-Glance and Measures-at-a-Glance.

Who May Apply

Organizations providing services for individuals with chronic diseases, including health plans, disease management companies and medical management companies.

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