SOURCE: American Health Holding

American Health Holding

January 24, 2012 14:07 ET

American Health Receives URAC Health Utilization Management, Case Management and Disease Management Accreditation

WORTHINGTON, OH--(Marketwire - Jan 24, 2012) - American Health Holding, Inc. announced today that it has been awarded Health Utilization Management, Case Management and Disease Management accreditation from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry.

"American Health is thrilled to receive URAC accreditation again," said Paul Lavin, President & CEO of American Health. "It is an honor to be recognized by URAC, an independent accrediting body that is well-respected in the industry. We will continue to uphold the rigorous standards of quality and efficiency in order to provide outstanding service to our clients."

American Health is a single-source provider of medical management services that support millions of members across the health care continuum. The organization, which received its first URAC accreditation in 1994, has been helping clients to maximize cost savings while ensuring the quality and appropriateness of care for more than 19 years. American Health's flexible, customized programs support integrated solutions for clients and assist in creating healthy outcomes for members.

American Health's Utilization Management, Case Management and Disease Management services are integrated through the company's proprietary system, iSuite, and are delivered by a team of highly qualified clinical staff with the training and tools to impact quality and cost.

The company's Utilization Management program uses evidence-based medical necessity criteria to certify treatments and direct providers towards the most cost-effective, quality treatment available. Utilization Management's robust triggers generate automatic referrals to American Health's Case Management program, through which the company's experienced Case Managers function as advocates, facilitators and educators. Case Managers are Registered Nurses or licensed social workers who ensure that members receive quality care and, when appropriate, make smooth transitions from inpatient settings to alternative care and home care.

American Health's Disease Management program covers eight prevalent chronic conditions and incorporates advanced predictive modeling to identify members with a disease. Members work one-to-one with dedicated Nurse Coaches, who educate and motivate participants to help reduce gaps in care and assist them in realizing better health.

"We applaud American Health on achieving Health Utilization Management, Case Management and Disease Management accreditation," 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."

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

For more information contact American Health at (614) 818-3222 or visit

Contact Information

  • Contact:
    Anne Klie
    Director of Marketing
    American Health Holding, Inc.