URAC Accreditation Quality Improvement Program

Quality Improvement Program

The Quality Improvement Program drives organizational improvement for excellence through efficiencies, increasing the competitive advantage, and building trust and recognition in the community to improve the health status, safety, and satisfaction of our customers.

The Quality Improvement Program (QIP) is the framework for a formal process to assess and monitor our performance through a systematic approach of monitoring and evaluating the quality and the effectiveness of care for our customers. This approach enables the health plan to focus on issues of appropriateness, efficiency, and safety, as well as health outcomes and satisfaction of our customers and their providers. This is achieved by continuous monitoring of our performance according to, or in comparison with, objective measurable performance standards. The QIP promotes accountability and ensures identification and evaluation of issues that impact our ability to improve our performance and the health care and administrative services provided to our customers.

Our primary goal is to integrate all existing quality activities into one comprehensive program for the purpose of monitoring activity, sharing ideas across multiple platforms, focusing resources, promoting programs, and maintaining URAC accreditation for our health insurance product. The QIP goals are achieved through the integration and coordination of the health plan's clinical and non-clinical services and through plan-wide initiatives that enhance the overall quality of the organization's services. Our guiding principle is to provide services with evidence-based data, driven by decisions based on the safety and welfare of our customers.

URAC is an independent, nonprofit accreditation organization dedicated to improving health care quality. URAC provides health care organizations with renowned accreditation and certification programs that set the highest standards in quality and safety. URAC can be found online at urac.org.


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