TAMPA, Fla., Sept. 10 /PRNewswire/ — Health Integrated announced today that it has received Organization Certification for Utilization Management from NCQA, an independent, not-for-profit organization dedicated to measuring the quality of America’s health care.
NCQA’s Organization Certification (OC) program is available to organizations that perform Utilization Management (UM) for health plans and other types of organizations eligible for NCQA accreditation or certification. NCQA Certification provides these organizations the opportunity to demonstrate the quality of their UM programs.
NCQA’s certification review includes a rigorous on- and off-site evaluation conducted by a team of physicians and managed care experts. A review oversight committee of physicians analyzes the team’s findings and assigns a certification status based on the organization’s performance against standards within applicable certification options.
“Health Integrated is honored to be certified in Utilization Management by NCQA,” said Sam Toney, MD, Chief Medical Officer of Health Integrated. “We are pleased to be recognized in the industry for our focus on quality. The NCQA distinction underscores the quality of our work with customers, patients, clients, payors, and practitioners by demonstrating compliance with national standards for Utilization Management services.”
Health Integrated’s Utilization Management program is part of the company’s Synthesis Health Management Services offering. Synthesis includes a complete suite of medical and behavioral health management programs that can stand alone or be integrated to meet customer needs and best serve patients. In addition to Utilization Management, Synthesis includes Case Management, Physician Review Services, Nurse Advice/Triage and Behavioral Health Integration, a ground-breaking carve-in service to assist health plans in integrating behavioral health management with medical management.
“Achieving Organization Certification from NCQA demonstrates that Health Integrated has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards,” said Margaret E. O’Kane, President, NCQA.
Additionally, Health Integrated offers industry-leading Synergy Targeted Population Management(TM), a health management program for the chronically ill that improves clinical outcomes and lowers avoidable utilization by addressing the critical interplay between psychological, social and physical health.
About Health Integrated
Health Integrated is a Targeted Population Health Management company dedicated to integrating health with life. Driven by a strong entrepreneurial culture, Health Integrated addresses the critical interplay between physical, psychological and social health. Working with health plans and their members, Health Integrated drives improvements in health status, quality of life and clinical outcomes while reducing unnecessary utilization and healthcare costs. For more information, visit http://www.healthintegrated.com/.
CONTACT: Mike Miniati, Health Integrated 813.388.4030 [email protected]
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Health Integrated
CONTACT: Mike Miniati, Health Integrated, +1-813-388-4030,[email protected]
Web site: http://www.healthintegrated.com/
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