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Blue Cross and Blue Shield of Georgia Awarded PPO Accreditation By URAC.


Business Editors

ATLANTA--(BUSINESS WIRE)--Dec. 26, 2002

Blue Cross and Blue Shield of Georgia (BCBSGA BCBSGA Blue Cross and Blue Shield of Georgia (US) ) has been awarded Health Network Accreditation and Health Utilization Management Accreditation for its PPO PPO
abbr.
preferred provider organization


PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there
 products by URAC URAC Utilization Review Accreditation Commission (health care accreditation & certification)
URAC University Recreation & Aquatic Centre Ltd (Australia)
URAC Union Regional de Apoyo Campesino
.

In addition, Disease Management Accreditation was granted for all Disease Management Organization programs. These programs include diabetes, congestive heart failure congestive heart failure, inability of the heart to expel sufficient blood to keep pace with the metabolic demands of the body. In the healthy individual the heart can tolerate large increases of workload for a considerable length of time. , high-risk pregnancy and secondary cholesterol.

Organizations applying for accreditation participate in a process that entails a rigorous review. Detailed surveys occur and meticulous standards must be met which are designed to evaluate clinical and administrative systems. Applicants who successfully meet all requirements are awarded a full two-year accreditation.

Blue Cross and Blue Shield of Georgia remains the only health plan in Georgia awarded Health Network Accreditation by URAC. "As Georgia's largest health insurer, BCBSGA is committed to providing quality and affordable health plans. We are pleased to receive this validation and recognition of our efforts from URAC," said Dr. Wayne Hoffman, vice president and corporate medical director. "URAC's Health Network accreditation is the premier accreditation program for PPOs and similar networks. The Health Network Standards provide a comprehensive assessment of PPO-based networks, covering network management issues, quality management and improvement, provider credentialing, and member protections," Hoffman added.

URAC is a leader in the accreditation of health and managed care organization. Founded in 1990, URAC currently offers 14 accreditation programs that span a broad spectrum of health care services. URAC has issued over 2,300 accreditation certificates to more than 500 health care programs. URAC-accredited organizations do business in all 50 states and provide services to more than 150 million Americans.

Garry Carneal, URAC President and CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board. , said, "By applying for and receiving URAC accreditation, Blue Cross and Blue Shield of Georgia has demonstrated a commitment to quality health care. 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."

Blue Cross and Blue Shield of Georgia, serving more than 2.2 million medical members, is the oldest and largest health benefits company in Georgia. Blue Cross and Blue Shield of Georgia is an operating subsidiary of WellPoint Health Networks Inc., one of the nation's largest publicly traded health care companies serving the health care needs of more than 13 million medical members and approximately 46 million specialty members nationally. WellPoint offers a broad spectrum of quality network-based health products including open access PPO, POS (1) See point of sale and packet over SONET.

(2) "Parent over shoulder." See digispeak.

POS - point of sale
 and hybrid products, HMO HMO health maintenance organization.

HMO
n.
A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial,
 and specialty products. Specialty products include pharmacy benefit management A Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims. , dental, utilization management, vision, mental health, life and disability insurance, long term care insurance, flexible spending accounts, COBRA administration, and Medicare supplements. Blue Cross and Blue Shield of Georgia may be found on the web at www.bcbsga.com. Blue Cross and Blue Shield of Georgia is an independent licensee of the Blue Cross and Blue Shield Association
Blue Cross redirects here. For other uses, see Blue Cross (disambiguation)
The Blue Cross and Blue Shield Association (BCBSA) is a American federation of 39 independent, community-based and locally operated Blue Cross and Blue Shield healthcare
.
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No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2002, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:1USA
Date:Dec 26, 2002
Words:473
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