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URAC's accreditation programs include specialty pharmacy, digital health, utilization management, health plan, case management, and others. [4] In order to earn an accreditation, organizations submit various policies and procedures which are reviewed by a nurse or pharmacist and then the Accreditation Committee. [5] Accreditation lasts for ...
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
United Surgical Partners International (USPI) is an American ambulatory care company based in Dallas, Texas.It was founded by Don Steen in 1998. USPI currently is active in 28 states. USPI currently operates over 400 ambulatory facilities. The company had partnerships with over 4,000 physicians and over 50
Tenet Healthcare Corporation is a for-profit multinational healthcare services company based in Dallas, Texas, United States.Through its brands, subsidiaries, joint ventures, and partnerships, [7] including United Surgical Partners International (USPI), [8] the company operates 65 hospitals and over 450 healthcare facilities. [9]
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [1] [2] A discipline-specific process may be referenced accordingly (e.g., physician peer review, nursing peer review).
The first employer-sponsored hospitalization plan was created by teachers in Dallas, Texas in 1929. [26] Because the plan only covered members' expenses at a single hospital (Baylor Hospital), it is also the forerunner of today's health maintenance organizations (HMOs). [26] [27] [28]