New Braunfels, TX – NAIRO, The National Association for Independent Review Organizations, recently announced that they have expanded the non-profit’s member scope to encompass accredited Health Utilization Management entities. NAIRO’s new initiative is a pivotal milestone for organization. NAIRO plans future expansion to include to Workers’ Compensation Utilization Management entities as members in 2019.
NAIRO is the first and only association dedicated exclusively to supporting IRO and UM. Formed in 2001, NAIRO initially served as a peer community of URAC-accredited IROs to collaborate on issues facing the rapidly changing healthcare and utilization management arenas. The mission of NAIRO is to promote the quality and integrity of the independent review process at the internal and external levels.
NAIRO leadership and its member-driven committees track legislative and regulatory developments at the federal and state level, advances in accreditation standards, and emerging themes such as cybersecurity, trust, compliance, and more. Today the organization is comprised of over 30 of most established and highly regarded accredited IROs in the nation.
“We are dedicated to increasing NAIRO’s footprint in the independent review industry by expanding our membership to include accredited HUM members and their unique perspective as we strive to improve the independent review process for all involved.,” said Gib Smith, Executive Director of NAIRO.
The primary objectives of NAIRO are:
- developing guidelines for solving common industry problems,
- promoting standards for these reviews to ensure the equitable representation of all stakeholders,
- educating stakeholders about the independent review process, and
- helping define the role of IROs and UMs in the evolving healthcare landscape.
Since its formation, NAIRO has assisted policy makers at both the federal and state level with position papers and analysis of issues. NAIRO has also helped its member organizations demonstrate the value of URAC accreditation and their processes for independent medical review. For more information about NAIRO, visit NAIRO.org.
About IROs & HUMs
Within the health care industry, an independent review organization (IRO) and health utilization management companies (HUM) act as a third-party medical review resource which provides objective, unbiased medical determinations that support effective decision making, based only on medical evidence. IROs and HUMs deliver conflict-free decisions that help clinical and claims management professionals better allocate healthcare resources.