Medical Mutual of Ohio Receives URAC Accreditation

CLEVELAND, July 8 /PRNewswire/ -- Medical Mutual of Ohio announced today that it has been awarded full Health Utilization Management accreditation and full Case Management accreditation from URAC, a Washington, DC-based healthcare accrediting organization that establishes quality standards for the healthcare industry.

Medical Mutual received the awards for its Health Maintenance Organization, Point-of- Service and Preferred Provider Organization products.

"We are very proud to be recognized once again by URAC as a leader in our industry," said Paula Sauer, Medical Mutual's vice president of Care Management. "The URAC accreditation process demonstrates a commitment to quality services and serves as a framework to improve business processes  through benchmarking organizations against nationally recognized standards," said Sauer.

"By applying for and receiving Health Utilization Management and Case Management accreditation, Medical Mutual of Ohio has demonstrated a commitment to quality health care," said Alan P. Spielman, URAC president and CEO. "Quality health care is crucial to our nation's welfare and it is important to have organizations that are willing to measure themselves against national standards and undergo rigorous evaluation by an independent accrediting body."

The URAC Health Utilization Management standards establish consistency in utilization management processes. The standards ensure that appropriately trained clinical personnel conduct and oversee the utilization review process, that a reasonable and timely appeals process is in place and that medical decisions are based on valid clinical criteria.

URAC's Case Management Accreditation standards address approaches to ensuring appropriate patient protections have been established, such as policies for confidentiality of patient information, informed consent, dispute resolution and other issues.  The standards cover staff structure and qualifications, quality improvement, information management, oversight of delegated functions, ethics, complaints, and the case management process.

URAC, an independent, nonprofit organization, is a leader in promoting health care quality through accreditation and certification programs. URAC's standards keep pace with the rapid changes in the health care system, and provide a mark of distinction for health care organizations to demonstrate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in setting meaningful standards for the health care industry. For more information, visit www.urac.org.

Founded in 1934 Medical Mutual of Ohio is the oldest and largest health insurance company based in Ohio. For more than 75 years the company has served its customers through high-quality, affordable group and personal health insurance plans, and third- party administrative services to self-insured group customers. For more information, visit the company's award-winning Web site at www.MedMutual.com.

SOURCE Medical Mutual of Ohio

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