Chicago, IL –Valence Health, a leading provider of clinical integration, population health and financial risk management solutions announced today that it has been awarded full Health Utilization Management (HUM) Accreditation from URAC. URAC is a Washington, DC based health care accrediting organization that establishes quality standards for the health care industry. HUM Standards ensure that all types of organizations conducting utilization review follow a process that is clinically sound and respects patients’ and providers’ rights while giving payers reasonable guidelines to follow.
“We appreciate the vote of confidence from URAC,” said Karen Janousek COO of Health Plans for Valence Health. “ The real winners are the providers we serve every day. Through this accreditation, URAC has affirmed that Valence delivers solutions that providers can rely on for the highest quality — we maintain high standards in order to best serve our clients and do so through meticulous documentation, strict information management, training, reviews and other protective activities.”
Since creating the first standards twenty years ago, URAC has set the bar for health utilization review. Recognized for meeting filing requirements with the State Departments of Insurance, URAC’s HUM Accreditation continues to transform the industry with each new revision of the standards. URAC’s accreditation assures the adequacy and quality of health utilization management programs through evaluation against broadly recognized standards and measures.
“By applying for and receiving URAC Health Utilization Management, Valence Health has demonstrated a commitment to quality health care,” said Alan P. Spielman, URAC president and CEO. “Quality health care is crucial to our nation’s welfare and it is important to have organizations that are willing to measure themselves against national standards.”
URAC’s accreditation assures the adequacy and quality of your health utilization management program through evaluation against broadly recognized standards and measures. Standards address the use of evidence-based guidelines, incorporation of adherence guidelines, and evaluation of utilization rates to meet the 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. URAC, an independent, nonprofit organization, is a leader in promoting health care quality through accreditation and certification programs. URAC's standards keep pace with the rapid changes in the 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 www.urac.org.
About Valence Health:
Valence Health provides healthcare organization solutions for value-based care, helping them better manage their patient populations and accept financial responsibility for the quality of the care they provide. With unique data collection and analysis solutions, Valence Health has emerged as a leader in population management and clinical integration, serving dozens of clients from physician groups to standalone hospitals to large IDNs such as Cleveland Clinic. In-depth actuarial analysis combined with operational excellence allows Valence to not only advise but also provide ongoing services to provider organizations operating under various value-based reimbursement models. From risk-based contracting to accountable care organizations (ACOs) to administering provider-sponsored health plans, Valence has been helping providers appropriately accept and manage financial responsibility while improving clinical quality since 1996. Headquartered in Chicago, with three other office locations, Valence Health serves more than 30,000 physicians and 100 hospitals, helping them manage the health of 15 million patients nationwide. Follow Valence Health on LinkedIn and Twitter.