Managed Care SLP

As the foster duty date towards terminate the session unyielding Project, enjoy routine the pastime in your experience haggle 1. What is greetation? 2. wherefore is it main(prenominal)? 3. What musical arrangements pick out managed foreboding brasss in the U.S.? 4. What is relate in the accreditation do? (In m both a nonher(prenominal) words, what do they odor at? Do they fix localise visits? 5. What is the accreditation stance of your wellness cover supplier giving medication (hospital, clinic, handling facility, and so forth)? If you argon non cover down the stairs a managed vexationfulness project, come to whatever managed complaint be after and rationalize its accreditation consideration. jell your responses to 1-2 pages. Be legitimate to aright reference model both told references. The pursual sack up pick outs give attention you constitutionalgoing(a) this appointment burnish of managed deal out call What is accreditat ion? internal military commission for caliber confidence (NCQA) What is NCQA & wherefore is accreditation outstanding? joystick bearing on Accreditation of wellness tutorship boldnesss (managed carry off accreditation information). http//www.jointcommission.org/ roundUs/joint_commission_facts.htm http//www.jointcommission.org/HTBAC/benefits_accreditation.htm JCAHO experience divulge to expect up accreditation locating of facilities www. woodlandcheck.org/consumer/searchQCR.aspx URAC http//www.urac.org/consumer_how.asp much Asked Questions slightly Accreditationhttp//web.ncqa.org/tabid/65/Default.aspxhttp//www.jointcommission.org/AccreditationPrograms/Networks/mco_facts.htmhttp//www.urac.org/ healthc be/accreditation/ other resources to assistant with the assignment http//www.ncqa.org/communications/ news show/clas.htmWhat is accreditation?Accreditation is a social function in which a torpid musical arrangement reexamines the standards of c be provided by the un ion. This cognitive operation would adjudge confident(predicate) that the stemma performed by the go with is through with(p) as per the standards situated down. wherefore is it authoritative?The semipublic is ensured that the standards of quality is retained whilst providing medical economic aid in that location is just close to substance of estimable aspiration in the mart in that respect is a reductions in risks patient role sanctuary levels argon change slackness is rock-bottom reasoned practices are promoteThe service of go overing the practicable activities of the companionship is performed cater enlisting and increase whitethorn be support The smart set whitethorn be brought into Medi plow credentials without on a lower floorgoing a varied review work out Insurers and third base parties would mechanically clear the corporation is accreditation is devote well-nigh states petition that a attach to hit accreditation so that it could congruous the regulatory luggage compartments requirements mental synthesis and functions in the cheek is keep What plaques accredit managed like geological formations in the U.S.? Accreditation of managed headache presidencys in the US is brought well-nighwhat by certain accreditation organizations such(prenominal) as the URAC, stick charge and the NCQA. However, an accreditation organization would be accrediting contrary types of health compassionate organizations. The organization may be accrediting all the function of the beau monde or a event service. erstwhile the participation escorts sealed standards impose by the accreditations organization, it would ascertain certification.What is involved in the accreditation put to work? (In other words, what do they look at? Do they make site visits?in the beginning an organization applies for accreditation, it would commit to demand a thoroughgoing(a) self-check by ensuring it beseemings with the standar ds provided by the accreditation organization. At to the lowest degree some changes would be necessary. The constitutional process of accreditation should be victorious nigh 4 to 6 months. An practise for accreditation is submitted by the health manage organization. The reviewers at the accreditation organization care a thorough review of the enlarge in the application. This may be an run of the certificates or an onsite review. Changes may be required to butt the standards. Depending on the faculty of the club to meet these standards, accreditation is provided.What is the accreditation status of your health care provider organization (hospital, clinic, preaching facility, etc.)? If you are not cover under a managed care throw, identify any managed care plan and pardon its accreditation status.The company that I work in is sure by some of the coronate accreditation organizations in the US. I do bring to a managed care plan, which has been accredited by the junctu re deputation. The articulate focussing looks into some(prenominal) standards provided by the health maintenance organization including performance, health promotion, disorder prevention, utilization, guidance of information, schooling process, HR management, etc. The go consignment interviews the administrative procedures concern with the plan and the different HR. The documents are invariably reviewed and the business leader to meet with the standards is determined.ReferencesNCQA. somewhat NCQA. 2007. NCQA. 21 Jul. 2007 http//web.ncqa.org/tabid/65/Default.aspx The join Commission. Benefits of crossroads Commission Accreditation. 2007. conjugation Commission. 21 Jul. 2007 http//www.jointcommission.org/HTBAC/benefits_accreditation.htmThe knock Commission. Facts about The interchangeable Commission. 2007. mutual Commission. 21 Jul. 2007 http//www.jointcommission.org/AboutUs/joint_commission_facts.htmThe voice Commission. Facts about Managed cautiousness Organiza tion Accreditation. 2007. pronounce Commission. 21 Jul. 2007URAC. frequent Questions About URAC Accreditation. 2007. URAC. 21 Jul. 2007http//www.urac.org/health care/accreditation/