URAC is nationally recognized as the leading entity for accrediting specialty health plans. By applying for and receiving URAC accreditation, American Specialty Health Insurance Company (ASH Insurance Company), American Specialty Health Networks, Inc. (ASH Networks), American Specialty Health Plans of California, Inc. (ASH Plans), American Specialty Health IPA of New York, Inc. (ASH IPA), American Specialty Health ODS of New Jersey, Inc. (ASH ODS), American Specialty Health Networks of South Dakota, Inc. (ASH Networks SD), and
American Specialty Health Management,
Inc. (ASH Management) have demonstrated the commitment to be measured by nationally accepted health care benchmarks. This accreditation assures health plans, employer groups, members, and providers that ASH maintains the infrastructure and processes necessary to promote high-quality health care.
The URAC health program accreditations received by ASH include a comprehensive review of organizational structure, administrative services, network management, quality management, utilization management, provider services, provider credentialing, member participation and protection, and claims processing. Although URAC also offers a certification process available to organizations that opt for a less comprehensive evaluation, ASH has opted to pursue full accreditation rather than the certification process.
Program Scope, Dates First Accredited, Dates of Current Cycle
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The URAC Disease Management standards promote quality and provide tools to better assess and respond to the needs of members. Standards promote evidence-based practice, collaborative relationships with providers, consumer education, and shared decision making with consumers.
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Health Network Accreditation is similar to Health Plan, but does not include UM, and is generally more applicable to PPOs.
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These standards ensure that organizations conducting utilization review follow a process that is clinically sound and respect patients’ and providers’ rights while giving payors reasonable guidelines to follow.
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www.Healthyroads.com. These standards promote creditability, trust, and quality of online health information and privacy practices of Web sites.
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ASH’s Telehealth Accreditation focuses on the Telehealth standards for the Consumer-to-Provider module, covering services initiated by a patient and can take place in the home or other non-clinical setting. They address best practices in areas such as healthcare quality and coordination, access, safety, systems integrity and reliability, consumer protection and empowerment, and regulatory compliance.
