Managed Care SLP

As the second assignment towards completing the Session Long Project, please upshot the following in your own words 1. What is greetation? 2. wherefore is it important? 3. What brass sections accredit managed care organizations in the U.S.? 4. What is involved in the accreditation process? (In other words, what do they look at? Do they keep back site visits? 5. What is the accreditation status of your wellness care provider organization (hospital, clinic, give-and-take facility, etc)? If you are not cover under a managed care innovation, get word any managed care plan and explain its accreditation status.Limit your responses to 1-2 pages. Be sure to properly cite exclusively references. The following Web sites will help you complete this assignment glossary of managed care terms What is accreditation? National Committee for attribute Assurance (NCQA) What is NCQA & Why is accreditation important? conjunction flush on Accreditation of Healthcare Organizations (managed care accreditation information). http//www.jointcommission.org/ just aboutUs/joint_commission_facts.htm http//www.jointcommission.org/HTBAC/benefits_accreditation.htm JCAHO Quality Check to look up accreditation status of facilities www.qualitycheck.org/consumer/searchQCR.aspx URAC http//www.urac.org/consumer_how.asp Frequently Asked Questions about Accreditationhttp//web.ncqa.org/tabid/65/Default.aspxhttp//www.jointcommission.org/AccreditationPrograms/Net establishs/mco_facts.htmhttp//www.urac.org/healthcare/accreditation/Other resources to help with the assignment http//www.ncqa.org/communications/news/clas.htmWhat is accreditation?Accreditation is a procedure in which a neutral organization reviews the standards of care provided by the fraternity. This process would make sure that the business performed by the conjunction is through with(p) as per the standards laid down.Why is it important?The public is ensured that the standards of quality is maintained whilst providing medical care There is some amount of healthy competitor in the market There is a reductions in risks Patient prophylactic levels are improved Negligence is reduced Good practices are boostThe process of reviewing the operational activities of the company is performed Staff recruitment and development may be encouraged The company may be brought into Medicare certification without undergoing a different review process Insurers and third parties would automatically recognize the company is accreditation is present Some states require that a company achieve accreditation so that it could bear the regulatory bodys requirements Structure and functions in the organization is maintained What organizations accredit managed care organizations in the U.S.? Accreditation of managed care organizations in the US is brought about by certain accreditation organizations such as the URAC, occasion Commission and the NCQA. However, an accreditation organization would be accrediting different types of h ealthcare organizations. The organization may be accrediting all the services of the company or a particular service. in one case the company meets certain standards imposed by the accreditations organization, it would receive certification.What is involved in the accreditation process? (In other words, what do they look at? Do they make site visits?Before an organization applies for accreditation, it would have to conduct a thoroughgoing(a)going self-check by ensuring it meets with the standards provided by the accreditation organization. At least some changes would be required. The absolute process of accreditation should be taking about 4 to 6 months. An diligence for accreditation is submitted by the healthcare organization. The reviewers at the accreditation organization conduct a thorough review of the details in the application. This may be an examination of the certificates or an onsite review. Changes may be required to meet the standards. Depending on the ability of the company to meet these standards, accreditation is provided.What is the accreditation status of your health care provider organization (hospital, clinic, treatment facility, etc.)? If you are not covered under a managed care plan, identify any managed care plan and explain its accreditation status.The company that I work in is accredited by some of the top accreditation organizations in the US. I do subscribe to a managed care plan, which has been accredited by the marijuana cigarette Commission. The Joint Commission looks into several standards provided by the HMO including performance, health promotion, unhealthiness prevention, utilization, management of information, education process, HR management, etc. The Joint Commission interviews the administrative procedures concerned with the plan and the various HR. The documents are constantly reviewed and the ability to meet with the standards is determined.ReferencesNCQA. About NCQA. 2007. NCQA. 21 Jul. 2007 http//web.ncqa.org/tabi d/65/Default.aspx The Joint Commission. Benefits of Joint Commission Accreditation. 2007. Joint Commission. 21 Jul. 2007 http//www.jointcommission.org/HTBAC/benefits_accreditation.htmThe Joint Commission. Facts about The Joint Commission. 2007. Joint Commission. 21 Jul. 2007 http//www.jointcommission.org/AboutUs/joint_commission_facts.htmThe Joint Commission. Facts about Managed Care Organization Accreditation. 2007. Joint Commission. 21 Jul. 2007URAC. General Questions About URAC Accreditation. 2007. URAC. 21 Jul. 2007http//www.urac.org/healthcare/accreditation/