What are the specifications for URACs DM performance reporting on outcomes measures?
Response: URAC is not prescriptive as to the specific fields or format for performance reporting; however, the Disease Management Association of America (DMAA) has various publications for measuring outcomes www.dmaa.org. For each condition, documentation of specific measurement objectives consistent with identified evidence-based guidelines is one of the expected types of information to be included in the reporting. URAC will verify that the disease management program documents its general methodology for each type of performance measure and documentation for standard DM 8 should address the methodology for measuring performance in clinical, financial, consumer reported and provider performance domains.
