URAC Core 20 -- v. 2.1 revision

There is no change in the language of Core 20 from v. 2.0 to v. 2.1.  The standard still reads:

If the organization has a system for reimbursement, bonuses, or incentives to staff or health care providers based directly on consumer utilization of health care services, then the organization implements mechanisms addressing how the organization will ensure that consumer health care is not compromised. (Primary)

What URAC has done, however, is to raise the weight from 4 to 5, making this a mandatory standard.  In other words, you must get a score of 2 or higher on this standard in order to receive full accreditation.  

For a more complete explanation of URAC scoring, see my earlier blog on the topic.