URAC Accreditation in Pharmacy Benefit Management

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Article

�糵�� Earns URAC Accreditation in Pharmacy Benefit Management��

By:��Javier Menendez, R.Ph., vice president, Clinical Services

Summary

Pharmacy benefit management (PBM) services are key to improving member experience and financial outcomes. �糵�� has earned URAC accreditation in PBM.

Pharmacy benefit management (PBM), when administered well, helps ensure that members have access to the prescription drugs they need while keeping costs under control for all. It’s a complex system that requires deep understanding to keep workflows moving efficiently and expert analysis to identify trends and adjust accordingly—with patient care and member experience leading every decision along the way.

This focus matters. I’m pleased to share that �糵�� has earned URAC accreditation in pharmacy benefit management. The URAC accreditation process demonstrates a commitment to quality services and serves as a framework to improve business processes through benchmarking organizations against nationally recognized standards.

A trusted pharmacy benefit manager partner��

This accreditation validates �糵��’s commitment to administering clients’ benefits in accordance with their members’ best interests while focusing on patient safety and improved outcomes.

URAC is a nonprofit organization that promotes healthcare quality through the accreditation of organizations involved in medical care. URAC supports improvements and innovation in healthcare management and delivery.

Accreditation matters

“URAC accreditation shows that �糵�� is a pharmacy benefit management organization able to adhere to standards that cover important aspects of care such as claims processing, developing proper drug formulary, and consumer access,” said URAC President and CEO Shawn Griffin, M.D. “Quality policies and procedures are paramount as the price and complexity of medications rise. �糵�� chose to demonstrate their performance through URAC’s independent accreditation of their services.”

The URAC accreditation for PBM covers six quality modules:

Drug utilization management
Customer service/disclosures
Pharmacy-network distribution
Pharmacy and therapeutics and formulary development
Core business practices
Performance measures

The Importance of Strong Pharmacy Benefit Management

Pharmacy benefit management services are key to improving member experiences and optimizing financial outcomes. For us, earning URAC accreditation for our PBM solutions and services is an important milestone and signals that our efforts and offerings are valuable and essential to the transformation of the healthcare system.

About URAC

Founded in 1990, URAC is the independent leader in promoting healthcare quality through leadership, accreditation, measurement, and innovation. URAC is a nonprofit organization using evidence-based measures and developing standards through inclusive engagement with a range of stakeholders committed to improving the quality of healthcare. Our portfolio of accreditation and certification programs span the healthcare industry, addressing healthcare management, healthcare operations, health plans, pharmacies, telehealth providers, physician practices, and more. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability.

Explore all of our pharmacy benefit management solutions.