Navigation Links
NAIRO Supports Uniform Health Carrier External Review Model Act Adopted by NAIC
Date:6/10/2008

Consistent external review processes will benefit consumers, regulators and

the healthcare industry

LANSDALE, Pa., June 10 /PRNewswire/ -- Lack of consistency related to the external appeal process is a big issue facing healthcare reform, says NAIRO (National Association of Independent Review Organizations), a trade organization for IROs. While 44 states and Washington, D.C. have external review laws, each is different. A nation-wide standard would provide consumers with greater consistency in the appeal process when an insurer denies coverage. Widely varying external review laws can significantly affect consumers, and unnecessarily increase healthcare complexity.

Standardization of independent medical peer review processes, timeframes, methods, and credentialing requirements throughout the United States is a important issue on the NAIRO agenda. It is why NAIRO supports the National Association of Insurance Commissioners (NAIC) "Uniform Health Carrier External Review Model Act," which moves external review toward a common process for all states and reduces healthcare confusion.

"NAIRO fully supports NAIC's approval of its External Review Model Act," said Joyce Muller, NAIRO president. "It's in the best interest of regulators, the healthcare industry and consumers to simplify the overly complex external review processes that most states use to protect consumers."

NAIRO is also a proponent of the requirement that nationally accredited independent review organizations perform the reviews. "We believe the healthcare consumer benefits if nationally accredited IRO's are selected for this process," said Muller. "Accredited IRO's undergo an exhaustive process that ensures consumers will receive the highest quality independent review of their denied claim." Today many policy makers recognize that private accreditation ensures their constituencies receive quality health care.

URAC (formerly the Utilization Review Accreditation Commission) is the largest accreditation organization in health care and accredits independent review organizations.

"Most states have established regulations that support patient's right by providing an appeal process for denied claims," said Muller. "NAIRO encourages all states to consider a more consistent national process for the benefit of all."

To read NAIRO's stances on healthcare issues, visit http://www.nairo.org/about.php.


'/>"/>
SOURCE National Association of Independent Review Organizations
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. HealthFitness CEO Supports Move Toward Cultural Shift, and Science-Based Health Management Programming
2. Diageo Supports First Ever National We Dont Serve Teens Week
3. The Prem Rawat Foundation Supports Disaster-Relief Efforts in Mozambique
4. Discovery supports theory of Alzheimers disease as form of diabetes
5. Study Supports Change to Prostate Cancer Biopsy
6. Kim & Scotts Gourmet Pretzels(TM) Supports Breast Cancer Organizations With Its New Pink Ribbon Pretzel
7. NIH grant supports UCSF research exploring early HIV infection
8. Grant Supports Study of Abnormal Ring-Shaped Chromosomes
9. Adaptis Supports Local Yakima-Based YWCA and National Diabetes
10. XShares Supports Parkinsons Disease Foundation 50th Anniversary Educational Symposium
11. $4 million AHRQ grant supports research to improve hospital care
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2017)... ... June 27, 2017 , ... Salucro, the ... the health care industry’s hospitals and provider groups, has announced that it will ... customers. Parasail Health is a San Francisco health-finance startup that has launched a ...
(Date:6/27/2017)... NY (PRWEB) , ... June 27, 2017 , ... From ... members. The three-day event was held in Syracuse, New York, where EarQ is headquartered. ... changing industry, how to connect with today’s savvy consumer, and the latest in ...
(Date:6/27/2017)... ... June 27, 2017 , ... The Kelahan Agency, ... services to residents of southern New Hampshire, is teaming up with the New ... hunger and homelessness in the region. , New Horizons for New Hampshire provides ...
(Date:6/27/2017)... ... June 27, 2017 , ... ... Scholarship Foundation Fundraiser hygiene symposium in Mystic, CT. Covering the process and maintenance ... their experience in these popular periodontal procedures. Drs. Toback and Urbanski practice as ...
(Date:6/27/2017)... (PRWEB) , ... June 27, 2017 , ... Today, June ... suffer from PTSD. Yet less than 20% will receive adequate care due to lack ... PTSD won't receive any care at all. And left untreated, veterans are at an ...
Breaking Medicine News(10 mins):
(Date:6/7/2017)...  Diplomat Specialty Infusion Group, a brand of Diplomat Pharmacy, Inc. ... Iowa location. The Iowa ... an ISO 7 cleanroom—the standard needed to compound intravenous (IV) nutrition ... of pollutants. "Our new cleanroom ... serve our Iowa patients," said Phil ...
(Date:6/3/2017)... , June 3, 2017  Eli Lilly ... announced that results from the Phase 3 MONARCH ... (CDK)4 & 6 inhibitor, in combination with fulvestrant, ... with fulvestrant alone in women with hormone-receptor-positive (HR+), ... breast cancer who have relapsed or progressed after ...
(Date:5/30/2017)... , May 30, 2017 DarioHealth Corp. (NASDAQ: DRIO), ... data solutions, today announced that it will be presenting at the ... 8:00 AM PT. Erez Raphael , CEO, of DarioHealth will ... conference will be held on June 6th & 7th, 2017 at ... in the small / micro-cap space. ...
Breaking Medicine Technology: