|By Business Wire||
|January 16, 2014 01:30 PM EST||
Conifer Health Solutions said today its InforMed Medical Management Services (IMMS) business unit has again earned accreditation from URAC for meeting the organization’s Health Utilization Management and Case Management standards. Additionally, Conifer Health’s IMMS achieved vendor certification status in Case, Disease and Health Utilization Management for their Medical Management Outcomes Tracking System software.
URAC is a Washington, D.C.-based healthcare accrediting organization that establishes quality standards for the healthcare industry. URAC’s Health Utilization Management accreditation standards ensure that appropriately trained clinical personnel conduct and oversee the utilization review process, that a reasonable and timely appeals process is in place, and that medical decisions are based on valid clinical criteria.
URAC’s Case Management accreditation standards address approaches to ensure appropriate patient protections have been established. These standards cover staff structure and qualifications, quality improvement, information management, oversight of delegated functions, ethics, complaints, and the case management process.
“We applaud InforMed Medical Management Services on achieving URAC Health Utilization Management and Case Management accreditation,” said Kylanne Green, URAC president and CEO. “In today’s healthcare market, URAC accreditation provides a mark of distinction for organizations to demonstrate their commitment to quality health care.”
URAC’s vendor certification program focuses on vendors that offer products used to support medical management organizations. Companies receiving URAC’s vendor-certified status undergo a rigorous review of basic operations as well as select standards within a current accreditation module.
“Conifer Health is honored to have our Medical Management Outcomes Tracking System solution reviewed and certified by URAC,” said Mary Ellen Gervais, PhD, RN, CCM and executive vice president for Value-Based Care at Conifer Health. “Our continued pursuit of accreditation and certification demonstrates our consistent commitment to providing quality medical management services to our clients, as well as providing an innovative care management system that supports other medical management organizations in pursuit of excellence. Receiving this certification demonstrates our aspiration to provide the highest level of quality solutions and services to our clients.”
URAC, an independent, nonprofit organization, is well-known as a leader in promoting health care quality through its accreditation and certification programs. URAC offers a wide range of quality benchmarking programs and services that keep pace with the rapid changes in the health care system, and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC strives to ensure that all stakeholders are represented in establishing meaningful quality metrics for the entire health care industry. For more information, visit www.urac.org.
About Conifer Health Solutions
Conifer Health Solutions is a healthcare services company helping more than 700 clients strengthen their financial performance, transition from volume to value-based care and enhance the consumer and patient healthcare experience—with the goal of ultimately improving the quality, cost and access to healthcare. Conifer Health has more than 17.5 million patient interactions across all service lines, manages $25 billion in patient revenue, and provides technology and health management services to support care management for more than 4 million lives, annually. For more information, call 1-877-CONIFER, visit coniferhealth.com or follow @coniferhealth on Twitter.