S.C. BlueCross BlueShield Receives URAC Case Management Accreditation

Wednesday, November 21, 2007 General News J E 4
COLUMBIA, S.C., Nov. 20 BlueCross BlueShield of SouthCarolina announced today that it has been awarded Case ManagementAccreditation from URAC, a Washington, D.C.-based health care accreditingorganization that establishes quality standards for the health care industry.

URAC's Case Management Accreditation standards require companies toestablish a process to assess, plan and implement case managementinterventions.

"BlueCross BlueShield of South Carolina is honored to receive CaseManagement Accreditation from URAC," said Dr. John Little, chief medicalofficer of BlueCross BlueShield of South Carolina. "We are very pleased to berecognized in the industry for providing outstanding services. Such adistinction also underscores the quality of our work with customers, patients,clients, payors, and providers by demonstrating compliance with nationalstandards for case management services."

BlueCross BlueShield's case management provides oversight of any illnessor complex medical situation by a nurse care manager to ensure that the memberreceives all necessary services. In the past year, the company provided casemanagement services to approximately 8,500 members.

"By applying for and receiving URAC Case Management Accreditation,BlueCross BlueShield of South Carolina has demonstrated a commitment toquality health care," said Alan P. Spielman, URAC president and CEO. "Qualityhealth care is crucial to our nation's welfare and it is important to haveorganizations that are willing to measure themselves against nationalstandards and undergo rigorous evaluation by anindependent accrediting body."

URAC's Case Management Accreditation standards address approaches toensuring appropriate patient protections have been established, such aspolicies for confidentiality of patient information, informed consent, disputeresolution and other issues. The standards cover staff structure andqualifications, quality improvement, information management, oversight ofdelegated functions, ethics, complaints, and the case management process.

URAC, an independent, nonprofit organization, is a leader in promotinghealth care quality through accreditation and certification programs. URAC'sstandards keep pace with the rapid changes in the health care system, andprovide a mark of distinction for health care organizations to demonstratetheir commitment to quality and accountability. Through its broad-basedgovernance structure and an inclusive standards development process, URACensures that all stakeholders are represented in setting meaningful standardsfor the health care industry. For more information, visit

Headquartered in Columbia, S.C., BlueCross BlueShield of South Carolina( is an independent licensee of the Blue Cross andBlue Shield Association. BlueCross BlueShield of South Carolina and its familyof companies include more than 20 subsidiaries involved in health insuranceservices, U.S. DoD health program and Medicare contracts, and other insuranceand employee benefits services.

SOURCE BlueCross BlueShield of South Carolina


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