Regulatory Monitoring from MRIoA Ensures Proactive Compliance
We Know. The Healthcare Regulatory Landscape is Complex.
MRIoA’s regulatory monitoring services proactively track state and federal laws and regulations, identifying issues to ensure compliance with all requirements.
From a healthcare standpoint, we share regulatory change updates with clients regularly so that you can proactively make staffing and procedural changes to remain compliant. A strong and continuous commitment to innovation and flexibility, both in our processes and our products, ensure that we stay ahead of legislative changes and new regulations.
MRIoA’s Accreditations, Certifications and Memberships include:
URAC – HUM
URAC is a non-profit independent accrediting agency that is known as a leader in promoting healthcare quality. Accredited organizations demonstrate a commitment to quality and excellence with consistent compliance with best practices. MRIoA holds URAC accreditation in Health Utilization Management (HUM).
URAC – IRO
URAC’s Independent Review Organization (IRO) accreditation standards validate that third-party organizations providing medical determinations are committed to a fair and impartial peer review process for both patients and physicians. MRIoA holds URAC accreditation in Independent Review Organization (IRO).
NAIRO (National Association of Independent Review Organizations) is a national trade association of URAC-accredited IROs whose primary mission is to protect the integrity of the independent review process.
HITRUST (Health Information Trust Alliance) has developed the HITRUST CSF, a certifiable framework that provides organizations with structure and clarity relating to healthcare industry information security. HITRUST certification signifies commitment to ongoing IT security.
NCQA – UM
NCQA is a non-profit organization dedicated to improving healthcare quality. The NCQA seal is a widely recognized symbol of quality. MRIoA is NCQA accredited in Utilization Management (UM).
The Self-Insurance Institute of America, Inc. (SIIA) is a member-based association dedicated to protecting and promoting the business interests of companies in the self-insurance and captive insurance industry such as TPAs, Captive Managers, Excess/Stop-Loss Carriers and others.
SOC for Service Organizations reports are designed to build trust and confidence services performed and controls employed through a report by an independent CPA and validation that the systems used to process users’ data maintain the confidentiality and privacy of information
Best Places to Work
MRIoA earned the 2023 Top Workplaces USA award, issued by Energage. Top Workplaces USA offers national recognition for large organizations with more than 150 employees operating in multiple markets. This award is in addition to our Top Workplaces Salt Lake City award received every year since 2018.
CAHP works to sustain a strong environment in which our member plans can provide access to products that offer choice and flexibility to the Californians they serve. Most of our member plans provide coverage to Californians through the individual and group markets.
Texas Association of Health Plans (TAHP) is the statewide trade association representing health insurers, Medicaid plans, Medicare Advantage plans, and other related healthcare entities operating in Texas.
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