Solstice Applying for URAC Health Utilization Management Accreditation

April 25, 2011

Solstice announced that it is applying for Health Utilization Management (HUM) Accreditation from URAC, a Washington DC-based health care accrediting organization that establishes quality standards for the health care industry. Recognized for meeting filing requirements with the State Departments of Insurance, URAC’s HUM Accreditation continues to transform the industry with each new revision of the standards.

“By applying for accreditation under URAC’s Health Utilization Management standards, we can demonstrate to various stakeholders a commitment to quality utilization management,” said Carlos Ferrera, Chief Operating Officer at Solstice. “The discipline and process required to obtain URAC accreditation is invaluable to our staff. The criteria and standards URAC upholds are beneficial to our clients and members.”

URAC is the leader in HUM Accreditation and the accreditation process demonstrates a commitment to quality services and serves as a framework to improve business processes through benchmarking organizations against nationally recognized standards. HUM Standards ensure that all types of organizations conducting utilization review follow a process that is clinically sound and respects patients’ and providers’ rights while giving payers reasonable guidelines to follow.

“By choosing to seek URAC Health Utilization Management Accreditation, Solstice has displayed leadership through a commitment to quality and accountability,” said Alan P. Spielman, URAC President and CEO.

The URAC HUM standards establish consistency in utilization management processes. The standards ensure that appropriately trained clinical personnel conduct and oversee the utilization review process, that a reasonable and timely appeals process is in place, and that medical decisions are based on valid clinical criteria.

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

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