Fastest-Growing Private Companies in America
Best Employers for Healthy Lifestyles
2008, 2009, 2010, 2011 & 2013 Gold—National Business Group on Health
Top Work Places
2012 & 2013—U-T San Diego
URAC is nationally recognized as the leading entity for accrediting specialty health plans. By applying for and receiving URAC accreditation, American Specialty Health Insurance Company and American Specialty Health Networks have demonstrated the commitment to be measured by nationally accepted health care benchmarks. More Info
NCQA is committed to providing health care quality information through the web and the media in order to help consumers, employers, and others make more informed health care choices. More Info
HITRUST CSF certification includes a comprehensive assessment of the enterprise security program and validates that ASH is committed to meeting key health care regulations and protecting private health care information. More Info
URAC is nationally recognized as the leading entity for accrediting specialty health plans. By applying for and receiving URAC accreditation, American Specialty Health Insurance Company (ASH Insurance Company), American Specialty Health Networks, Inc. (ASH Networks), American Specialty Health Plans of California, Inc. (ASH Plans), American Specialty Health IPA of New York, Inc. (ASH IPA), American Specialty Health ODS of New Jersey, Inc. (ASH ODS), American Specialty Health Networks of South Dakota, Inc. (ASH Networks SD), and American Specialty Health Management, Inc. (ASH Management) have demonstrated the commitment to be measured by nationally accepted health care benchmarks. This accreditation assures health plans, employer groups, members, and providers that ASH maintains the infrastructure and processes necessary to promote high-quality health care.
The URAC health program accreditations received by ASH include a comprehensive review of organizational structure, administrative services, network management, quality management, utilization management, provider services, provider credentialing, member participation and protection, and claims processing. Although URAC also offers a certification process available to organizations that opt for a less comprehensive evaluation, ASH has opted to pursue full accreditation rather than the certification process.
Program Scope, Dates First Accredited, Dates of Current Cycle
Clinical IntegrationThis program is designed to provide a roadmap to clinical and financial integration—key components for undertaking population health management and financial risk management, hallmarks of becoming an Accountable Care Organization (ACO) or other clinically integrated organization. It involves the development of new strategies, tools, and competencies that promote health care practitioners' participation in the quality improvement and accountability of higher quality and more efficient care.
Comprehensive Wellness ProgramThese standards require a comprehensive wellness organization to develop programs that address the risk types and interventions associated with the wellness program, and define the excepted outcomes. The standards and measures encourage industry-wide quality improvement and promote best practices, while protecting and empowering consumers.
Health Network w/Credentialing(including chiropractic, acupuncture, massage therapy, naturopathy, and dietetic counseling programs)
Health Utilization Management(including chiropractic, acupuncture, massage therapy, naturopathy, and dietetic counseling programs)
Health Website: www.HealthyRoads.com
HIPAA SecurityASH affiliates holds URAC’s HIPAA Privacy accreditation and HIPAA Security accreditation. These programs outline a framework of best practices that describe the operational policies and procedures necessary for an effective HIPAA compliance program. ASH received accreditation as both a covered entity and a business associate.
NCQA is committed to providing health care quality information through the web and the media in order to help consumers, employers, and others make more informed health care choices.
ASH Group (formerly ASH Networks) and ASH Plans were among the first complementary health care companies to receive NCQA Organization Certification in Utilization Management and Credentialing for their specialty network programs. This Certification process focuses on consumer protection and improvement in service to customers. Standards recognize that organizations that apply for certification have open-access networks, and can improve service quality and utilize customized structures to meet purchaser needs. First certified: October 2005. Current cycle: October 2017 - October 2019.
In 2017, to better align with regulatory agency terminology, NCQA changed this from a certification to an accreditation process. It should be noted that ASH programs are currently delegated to by more than 50 NCQA-accredited health plans for many of the services offered by ASH, including utilization management, provider quality management, claims processing, provider credentialing, and member services. ASH continues to align its operations to comply with NCQA standards to support good business practices and NCQA accredited customers. ASH continues to hold this accredited program in good standing.
American Specialty Health Management's wellness programs were among the first in the country to receive NCQA Wellness and Health Promotion Accreditation with Performance Reporting. NCQA Wellness & Health Promotion Accreditation is a nationally recognized evaluation that purchasers and consumers can use to assess wellness and health promotion programs. This accomplishment includes successful completion of an annual NCQA HEDIS ® Compliance Audit™. HEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the health care quality. First accredited: October 2009. Current cycle: October 2015 - October 2018.
HEDIS and NCQA HEDIS Compliance Audit are trademarks of the National Committee for Quality Assurance (NCQA).
HITRUST CSF Certified status indicates that America Specialty Health’s programs* and supporting systems** have met industry-defined requirements and the organization is appropriately managing risk in regards to these programs/systems. This places ASH in an elite group of organizations worldwide that have earned this certification.
*Programs: Musculoskeletal health, Silver&Fit, Healthyroads, Active&Fit, and Exercise Rewards.
** Supporting Systems: ActiveandFit.com, ASH Core, ASHLink.com, ECR, Eligibility, ExerciseRewards.com, Healthyroads.com, HMS, IHIS, and SilverandFit.com.