Blue Cross and Blue Shield of Louisiana has been awarded Health Network, Case Management and Health Utilization Management Accreditation from URAC, a Washington, D.C.-based healthcare accrediting organization that establishes quality standards for the healthcare industry.
“Blue Cross and Blue Shield of Louisiana should be commended for meeting strict quality standards,” said Alan P. Spielman, URAC president and CEO. “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 Network Accreditation standards include key quality benchmarks for network management, provider credentialing, utilization management, quality management and improvement and consumer protection. Case Management Accreditation standards require companies to establish a process to assess, plan and implement case management interventions. Health Utilization Management Accreditation standards provide assurance to patients, providers, purchasers, regulators and employers that the practices of the organization performing these services are fair and equitable for all parties.
The URAC standards development process is consensus driven, with over hundreds of industry experts serving as volunteers to establish and revise appropriate industry benchmarks.
URAC, an independent, nonprofit organization, is well-known as a leader in promoting healthcare 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 healthcare 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 measures for the entire healthcare industry. For more information, visit www.urac.org.
Blue Cross and Blue Shield of Louisiana is Louisiana-owned and -operated. Marking its 73rd anniversary this year, the company is an independent licensee of the Blue Cross and Blue Shield Association. It is a tax-paying mutual company, owned by its policyholders. Headquartered in Baton Rouge, Blue Cross and Blue Shield of Louisiana also has district offices in Alexandria, Houma, Lafayette, Lake Charles, Monroe, New Orleans and Shreveport. The company’s subsidiaries include HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc.
