URAC Wellness Standard 10 -– Review of HRA Tool


This mandatory standard provides:

At least every two years, the wellness organization reviews and, if necessary, modifies the health risk assessment tool based on clinical updates and other research.

The underlying assumption of this standard is that, since the program's structure, including risk assessment and stratification methodologies, is evidence-based, that evidence conceivably could change over time, as new clinical research becomes available.  Therefore, URAC requires that the program remain current with that research by reviewing current literature and modifying the program to reflect current research. 

Documentation required for this standard likely will include evidence of review, by qualified people, of current research on the topic and the comparison of recent research to the health risk assessment tool currently used by the organization.  Onsite review may include an interview with the person or persons who conducted that review and, perhaps, committee meeting minutes if the review results are presented to a committee.