From conception, the founders of URAC recognized that an accreditation organization would not be accepted by regulators, health care providers and consumers if controlled by industry interests. To avoid this, several operating principles were incorporated into URAC's structure and bylaws. First, URAC was set up as an organization independent of any particular stakeholder group. Second, the governing board of directors was established with representatives from all affected constituencies: consumers, providers, employers, regulators and industry experts. Today, over 500 committee volunteers and paid staff help run the organization.
In the mid to late 1990's, URAC's mission expanded to cover a larger range of service functions found in various health care settings including the accreditation of integrated systems such as health plans to smaller organizations offering specialty services.
URAC's accreditation process consists of a review of policies and procedures and an onsite visit to the applicant organization to determine that it is, in fact, operating according to its stated policies. If an applicant organizations passes their review, an accreditation is awarded with a valid period of two to three years after which the organization must go through the review process again to maintain its accredited status.
URAC accredits many types of health care organizations including medical management organizations (disease management, case management, health call centers, Independent review organizations, etc.), health plans (HMOs, PPOs, etc.), hospitals and health websites.
|Case Management||Claims Processing||Consumer Education & Support||Core||Credentials Verification Organization|
|Disease Management||Drug Therapy Management||Health Call Center||Health Content Provider||Health Network|
|Health Plan||Health Provider Credentialing||Health Utilization Management||Health Web Site||HIPAA Privacy|
|HIPAA Security||Independent Review Organization||Medicare Advantage Deeming Program||Pharmacy Benefit Management||Workers' Compensation Utilization Management|