Care to Care Receives URAC Health Utilization Management Re- Accreditation

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Care to Care received its second consecutive perfect score and re-accreditation from URAC for its excellence in Health Utilization Management.

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"Care to Care's Radiology Benefit Management (RBM) program has earned full accreditation from URAC by achieving a perfect score of 100% on all scored compliance standards for its service, safety, and improvement-oriented processes.”

Care to Care LLC, a leading provider of multi-specialty benefits management services, announced today that it has received its second consecutive perfect score and re-accreditation from URAC for its excellence in Health Utilization Management. Care to Care has been granted FULL accreditation in Health Utilization Management, Version 7.2.

"Care to Care's Radiology Benefit Management (RBM) program has earned full accreditation from URAC by achieving a perfect score of 100% on all scored compliance standards for its service, safety, and improvement-oriented processes.” said Julian Safir, MD, Chief Medical Officer of Care to Care. "We are proud to achieve URAC's recognition of our efforts because it is a testament of Care to Care's commitment to improving patient health while working to manage costs for the stakeholders."

“Care to Care should be commended for meeting strict quality standards,” said URAC President and CEO Kylanne Green. “It is critically important for healthcare organizations to make a commitment to quality and accountability. URAC accreditation is a demonstration of that commitment.”

URAC’s Health Utilization Management Accreditation (HUM) Standards ensure that organizations conducting utilization review follow a process that is clinically sound and respects patients’ and providers’ rights while giving payers’ reasonable guidelines to follow. Standards address the use of evidence based guideline, incorporation of adherence guidelines, and evaluation of utilization rates to meet demands of a changing health care system. Cost effective care with optimal outcomes reinforces the value and importance of health utilization management across the health care continuum including health plans, hospitals, specialty care for mental health and long term care.

Societal, economic and regulatory factors are driving employers, purchasers and managed care organizations to increase access, improve outcomes, and manage costs. Utilization Management, as well as Case Management and Disease Management, will play a critical role in the evaluation and review of appropriate patient care and utilization. URAC’s accreditation assures that adequacy and quality of health utilization management programs through evaluation against broadly recognized standards and measures.

Care to Care is a multi-specialty benefits management company providing next generation benefit management solutions to managed care organizations and other healthcare payers. The company’s evidence-based, physician friendly radiology and cardiac utilization management solutions help ensure that patients receive safer, more cost effective care by reducing redundant and unnecessary imaging procedures. Care to Care’s clients have access to a wide variety of industry thought leaders and practitioners. The company’s clinical team includes recognized, board certified radiologists and cardiologists; and its operational staff is comprised of professionals with longstanding healthcare expertise and experience in fields as varied as imaging technology, population health management, and decision – support system development. For more information, visit http://www.caretocare.com.

URAC, an independent, nonprofit organization, is a leader in promoting health care quality through accreditation and certification programs. URAC’s standards keep pace with rapid changes in health care system, and provide a mark of distinction for health care organizations to demonstrate their commitment to quality and accountability. Through its broad- based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in setting meaningful standards for the health care industry. For more information, visit http://www.urac.org.

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Carol Folkman
@CaretoCareRBM
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