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HealthSmart Care Management Solutions offers a fully integrated, comprehensive portfolio of quality care management products and services. Our programs and services enable our clients to provide appropriate and cost-effective healthcare for their entire population — those healthy individuals who need to stay that way, those at risk who need to improve their health and those who need to effectively manage their chronic conditions.

Outcome-based Population Health Management

A full spectrum of services is available through one source as a fully-integrated set of solutions with robust cross-referrals and a combined data repository that measures outcomes and return on investment across the entire care continuum. Our solutions for healthcare companies, employers and TPAs provide intervention models, clinical expertise, and an array of flexible and scalable program elements that make sense to you and your organization and that are designed to minimize costs, improve organizational efficiencies, improve the health and productivity of members.

URAC-Accredited for Utilization Management

On April 1, 2015, URAC awarded HealthSmart Care Management Solutions the Certificate of Full Accreditation for its Health Utilization Management services. URAC’s mission is to promote continuous improvement in the quality and efficiency of healthcare management through processes of accreditation and education. 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. HealthSmart Care Management Solutions, L.P. demonstrates its commitment to quality healthcare by measuring themselves against national standards and by undergoing rigorous evaluation by an independent accrediting body.
URAC is governed as an independent third-party, and it functions as an independent third-party. URAC is organization independent of any particular stakeholder group. The URAC governing board of directors has representatives from all affected constituencies: consumers, providers, employers, regulators, and managed care industry experts.
 For more on URAC, click here.