Recent healthcare reform efforts are focused on transforming care delivery while also controlling skyrocketing costs. URAC, an independent accreditation organization advancing quality and value throughout healthcare, has launched two new accreditation programs for Clinical Integration and Accountable Care.
URAC’s programs cultivate cooperation among providers to control costs, ensure quality and improve health outcomes. These programs are part of URAC’s Provider Suite, building upon the Patient Centered Medical Home program. Together, these programs provide a flexible, educational approach to assist provider organizations as they move from physician practice groups to fully functioning Medical Homes, from loosely organized networks to clinically integrated networks and from clinically integrated networks to providing population-based health through accountable care entities.
“URAC’s new accreditation programs are a roadmap for providers to successfully navigate the complex structural and cultural changes required under the Affordable Care Act to succeed in a new environment focused on quality and accountability,” said Kylanne Green, president and chief executive officer of URAC. “Accreditation provides a competitive advantage for healthcare organizations by distinguishing themselves in the market while meeting industry needs.”
Clinical Integration Accreditation offers education and guidance for healthcare providers to achieve interdependent operations, care coordination, clinical management and improved performance measures. The program focuses on the development of the organizational structure needed for clinical integration and applying evidence-based guidelines and best practices.
Accountable Care Accreditation supports an advanced level of operations with a focus on total population health and improving health outcomes through care coordination of population groups. The program helps providers address patient centeredness and engagement, health information technology, quality management, population-based risk management and case management.
To earn the accreditation, providers are independently evaluated, ensuring the achievement of accountability and quality under industry-vetted standards. URAC’s clinical integration standards also align with Federal Trade Commission (FTC) antitrust regulations. The accreditation works for a variety of health providers, from small to large, including specialty groups.