MagnaCare, a healthcare services company, today announced that it has earned Health Utilization Management (HUM) Accreditation from URAC, a Washington, D.C.-based healthcare accrediting organization that establishes quality standards for the healthcare industry. HUM standards ensure that all types of organizations conducting utilization review follow a process that is clinically sound and respectful of patients' and providers' rights while giving payers reasonable guidelines to follow.
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"This accreditation serves as recognition of MagnaCare's high standards for using evidence-based guidelines, incorporating adherence guidelines and evaluating utilization of services to meet the demands of a changing healthcare system," says Joseph Berardo, Jr., CEO and president, MagnaCare. "We understand the importance of cost-effective care with optimal outcomes, and are committed to providing exceptional utilization review services."
Founded in 1990, URAC currently offers more than 22 accreditation and certification programs that span a broad spectrum of healthcare services. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire healthcare industry.
MagnaCare health plans cover a wide range of organizations, including self-insured employers, Taft Hartley Funds, commercial insurers, Third Party Administrators, worker's compensation and no-fault payers, and municipalities, providing access to a network of more than 70,000 industry-leading healthcare provider locations in the New York and New Jersey area, with additional access to more than 510,000 leading healthcare professionals across the country.
Alan P. Spielman, president and CEO, URAC, states, "By applying for and receiving URAC's Health Utilization Management Accreditation, MagnaCare has demonstrated a commitment to quality healthcare. Quality healthcare is crucial to our nation's welfare, and it is important to have organizations that are willing to measure themselves against national standards and undergo rigorous evaluation by an independent accrediting body."
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