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URAC Seeks Public Input on New Uniform External Review Standards for Health Plan and Health Utilization Management Organizations
Date:7/16/2009

Public Comment Period Open for New Standards Aligned with NAIC Model Act

WASHINGTON, July 16 /PRNewswire-USNewswire/ -- URAC, a leading health care accreditation and education organization, today requested public input on a proposed new, optional set of standards for its Health Plan and Health Utilization Management accreditation programs.

(Logo: http://www.newscom.com/cgi-bin/prnh/20030501/URACLOGO)

These new "Uniform External Review" standards reflect provisions in the Uniform Health Carrier External Review Model Act, which the National Association of Insurance Commissioners (NAIC) adopted in June 2008. URAC encourages purchasers, policy makers, consumers, health care management organizations and health plans to review the new URAC standards and provide feedback now through August 31, 2009.

"NAIC developed the Model Act to achieve a national standard and uniform approach for processing, conducting, and making external review determinations for insurance coverage," said Joel Ario, Pennsylvania Insurance Commissioner and Vice Chair, Health Insurance and Managed Care (B) Committee of the National Association of Insurance Commissioners (NAIC). "The Act, in essence, provides a common process for approving independent review organizations in every state that can reduce health care confusion for consumers. URAC's accreditations and standards have been instrumental in our effort to streamline this process."

While 45 states have external review laws, there is li
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