; SC BlueCross Disease Management Programs Earn National Accreditation
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Press Release

SC BlueCross Disease Management Programs Earn National Accreditation

December 16, 2013

COLUMBIA – URAC, a Washington, D.C.-based accrediting organization that establishes quality standards for the health care industry, has reaccredited BlueCross BlueShield of South Carolina’s disease management programs.

The company earned the Disease Management 4.0 reaccreditation.

In the programs, BlueCross members diagnosed with or considered at risk for certain conditions receive materials and health coaching by telephone to help them understand their diseases and better manage their health. Participants also may contact their health coaches as often as needed for support.

“URAC’s disease management measures align with national quality improvement efforts and ensure consistency in measurement nationwide,” said Mary Mazzola Spivey, senior vice president for managed care and population health. “To have an impartial, premier accrediting organization such as URAC conclude that we are consistent with national standards is a mark of excellence.”

URAC this year announced standards revisions and the addition of performance measures for its disease management accreditation program. It aligns with current trends in the industry as well as with government regulations that include the Affordable Care Act.

“We applaud BlueCross BlueShield of South Carolina on achieving URAC Disease Management 4.0 reaccreditation,” said Alan P. Spielman, URAC president and CEO. “In today’s health care market, URAC accreditation provides a mark of distinction for organizations to demonstrate their commitment to quality health care.”

The reaccreditation is effective for three years. The standards cover program scope and objectives, staff structure and qualifications, quality improvement, performance reporting, consumer rights and responsibilities, information management, ethics and more. In all, more than 50 standards must be met.

URAC, an independent, nonprofit organization, is a leader in promoting health care quality through accreditation and certification programs. URAC’s standards keep pace with the rapid changes in the health care system and provide a mark of distinction for health care organizations to demonstrate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in setting meaningful standards for the health care industry. For more information, visit www.urac.org.

About BlueCross BlueShield of South Carolina
Headquartered in Columbia, S.C., and operating in South Carolina for more than 65 years, BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. The only South Carolina-owned and operated health insurance carrier, BlueCross BlueShield of South Carolina comprises more than 47 companies involved in health insurance services, U.S. DoD health program and Medicare contracts, other insurance and employee benefits services, and a philanthropic foundation that funds programs to improve health care and access to health care for South Carolinians.

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The Blue Cross and Blue Shield Association is a national federation of 37 independent, community-based and locally-operated Blue Cross and Blue Shield companies that collectively provide healthcare coverage for nearly 100 million members – one-in-three Americans.  For more information on the Blue Cross and Blue Shield Association and its member companies, please visit bcbs.com. We encourage you to connect with us on Facebook, check out our videos on YouTube, follow us on Twitter and check out The BCBS Blog, for up-to-date information about BCBSA.