Wednesday, March 15, 2017

New Utilization Review Law in California Requires URAC Accreditation

In October of 2016, California Governor Jerry Brown signed into law SB 1160, which requires utilization management organizations that provide workers' compensation to be URAC-accredited.

According to the URAC press release, California's workers' compensation fraud is estimated to range between $1 and $3 billion, and "[i]n 2014, California had the highest worker’s compensation premiums in the nation – 188 percent over the median." This new law is meant to cut down on fraud and boost efficiency within utilization management organizations.

URAC is the gold standard for healthcare organization accreditation, and now workers' compensation programs accredited through URAC can be prepared to address risks to patient safety, comply with federal and state law, have an unbiased structure by which to determine medical necessity, and more.

Workers' Compensation programs in California must be accredited through URAC by July 2018.

The deadline is fast approaching, so let an experienced consultant guide you through the accreditation process. Contact Arete Healthcare Solutions for more information.

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