Private Healthcare Systems Achieves Full URAC Re-Accreditation for Its PPO Network and Health Utilization Management Services.Business Editors/Health/Medical Writers WALTHAM, Mass.--(BUSINESS WIRE)--Sept. 10, 2003 Private Healthcare Systems (PHCS PHCS Private Healthcare Systems PHCS Primary Health Care Service PHCS Preventive Health Care System PHCS Princeton Health Care System (Princeton, New Jersey) PHCS Senior Chief Photographer's Mate (Naval Rating) ), the nation's leading health care cost management company, announced today that it received full re-accreditation from URAC URAC Utilization Review Accreditation Commission (health care accreditation & certification) URAC University Recreation & Aquatic Centre Ltd (Australia) URAC Union Regional de Apoyo Campesino for its Health Network and Health Utilization Management Utilization management is the evaluation of the appropriateness, medical need and efficiency of health care services procedures and facilities according to established criteria or guidelines and under the provisions of an applicable health benefits plan. services. URAC, an independent, non-profit organization A non-profit organization (abbreviated "NPO", also "non-profit" or "not-for-profit") is a legally constituted organization whose primary objective is to support or to actively engage in activities of public or private interest without any commercial or monetary profit purposes. , is a leader in promoting health care quality through accreditation and certification programs. URAC's standards provide a mark of distinction for health care organizations to demonstrate their commitment to quality and accountability. During its re-accreditation process, URAC acknowledged PHCS for a number of best practices, including the continuous quality monitoring of its provider network and the oversight of its delegated credentialing provider groups. PHCS was noted for high-quality clinical oversight of Utilization Management operations, stringent confidentiality protections, especially in clinical areas and the on-going training of Utilization Management staff. PHCS was also acknowledged for its systems security and recovery procedures and Data Integrity program. PHCS received similar recognition from the National Committee for Quality Assurance National Committee for Quality Assurance Medical practice A private, not-for-profit organization which has become the leading accreditor of managed care plans; in site visits, NCQA reviewers evaluate a managed care plan in terms of quality management, physicians' (NCQA NCQA National Committee on Quality Assurance, see there ) earlier this year. PHCS is the first and only national PPO PPO abbr. preferred provider organization PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there to earn four endorsements of quality from two independent, nationally-recognized quality assurance organizations, NCQA and URAC. "PHCS re-accreditation by URAC is an extremely important component of our commitment to our customers to provide high quality, state-of-the-market services," says Joseph Driscoll, PHCS 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. . "This endorsement further strengthens our position as the national leader in health care cost management and raises the bar for the marketplace." "Once again PHCS has achieved full accreditation status for URAC's Health Network Accreditation with credentialing and Health Utilization Management Accreditation programs," says Garry Carneal, President & CEO of URAC. "PHCS continues to demonstrate an ongoing commitment to quality services." About PHCS For 18 years, Private Healthcare Systems has been meeting the network and medical management needs of customers across the country. Corporate headquarters are in Waltham, Massachusetts, with regional offices located throughout the United States. The largest proprietary PPO network in the country, the PHCS Provider Network includes more than 391,000 providers and 3,600 facilities. PHCS is the only national PPO that has earned multiple endorsements from both leading national health care quality organizations, NCQA and URAC. |
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