URAC’s Provider-Based Population Health Accreditation addresses key population health principles: data transformation, analytic transformation, financial transformation, and care transformation. Our standards provide the framework to effectively build and deploy a population health program. A “population” can be defined in a number of ways, for example, geographically, demographically, or based on diagnoses. Regardless of how organizations define population strategies, population health involves collaboration between leaders in health care, politics, community-based services, education, and business.
A focus on total health and wellbeing is crucial for successful population management. Similarly, organizations across the health care spectrum are looking for solutions that extend beyond physical health to address behavioral health and social determinant of health. Using population health strategies to provide the highest quality, most appropriate, and most cost-effective care for patients across the continuum, will improve outcomes and bring both near- and long-term success.
URAC’s Provider-Based Population Health Accreditation recognizes organizations engaged in management of populations as defined by business needs and contractual arrangements.
Program standards address 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
- IT Capability
- Introduces total health principles
- Integrated Behavioral Health
- Social Determinants of Health
URAC-accredited organizations demonstrate their commitment to the triple aim: improving patient experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of health care.
Download the Provider-Based Population Health Accreditation Standards-at-a-Glance.
Who may apply?
Provider groups that provide for at least 50% of the elements of performance covered under the URAC program for which they seek accreditation and provide for a team-based patient care model to deliver primary and preventive health care services to improve coordination of care and patient outcomes in office settings, outpatient clinics, or academic-affiliated ambulatory clinics.