NAIRO Downloads

Following is a catalog of useful downloads for users interested in or affiliated with the National Association of Independent Review Organizations (NAIRO). Downloads may require the latest version of Adobe Acrobat Reader. If your system does not have the current reader software, please follow this link to complete a simple download and installation prior to accessing the links below.

  • "NAIRO White Paper: NAIRO Releases Solutions to Prevailing Barriers Facing Health Care's Independent Medical Review Process Read more »
  • "NAIRO Position Paper: Accredited, Compliant IROs Lead the Way to Fair and Transparent Medical Review" Read more »
  • "Press Release: NAIRO Expands Education, Engagement With 2015 Cross-Channel Communication Plan" Read more »
  • "Issue Brief: Restrictive State Laws Can Compromise the Integrity of Independent Review"Read more »
  • "Issue Brief: Providing Leading Assessments of Experimental and Investigational (E/I) Treatments"
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  • "Issue Brief: Independent Review Expands Its Scope: Case Studies in Context"
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  • "Issue Brief: Health Plans Embrace Outsourcing Key Business Operations to Independent Review Organizations (IROs)"
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  • "URAC-NAIRO Webinar Presentation" - Copy of the webinar presentation delivered by Bonnie Zickgraf and Elaine Nace on July 24, 2013.
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  • "Consumer Guide to Healthcare Appeals" - If you are a health plan member or subscriber who is trying to understand how the appeal process works, download this free guide from NAIRO. It will provide you with important information that you need to know, as you work through an appeal of a denied claim.
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  • "White Paper: How to Interpret the New Internal and External Appeals Regulations" - This White paper provides a detailed overview of the appeal provisions in Section 2719 of the Patient Protection and Affordable Care Act (PPACA). NAIRO has prepared this document to help appeal stakeholders better understand these rules and how they affect their business relationships with Independent Review Organizations.
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  • NAIRO MEMBERSHIP APPLICATION
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  • "NAIRO Comments on Interim Final Rules - Section 2719 of PPACA" - Download this document to read NAIRO's public comments which were submitted to HHS, DOL and the IRS on 9/21/10. The paper advocates for greatly strengthening the conflict of interest (COI) language which is proposed in the Interim Final Rule, related to health plan internal appeals.
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  • "NAIRO Endorses URAC as Recognized Acceditation Body" - June 30, 2009 -- NAIRO recently weighed in to make sure that URAC is recognized and included among the recognized accreditation bodies under the Affordable Health Choices Act, which is currently under consideration in the U.S. Senate. Download a copy of our joint letter to Senator Edward Kennedy here.
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  • "Health Plans and IROs Can Work Together to Determine Proper Care for Eating Disorders" - Learn how IROs help health plans to make evidence-based coverage determinations involving eating disorders, an area that is rapidly growing in the U.S.
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  • "IROs Help Cut Health Plan Costs during the Recession" - As pressure gets exerted on the US healthcare system for cost reduction, IROs are playing an increasingly critical role in helping payers eliminate waste and reduce over-utilization while preserving the integrity of care for members. Read this article to learn more.
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  • "Position Paper: A Vision for Improving Healthcare in America" - The healthcare cost debate is not about whether America has a problem, but the best solutions for it. From NAIRO members' perspective, redundant administrative overhead plays a large role in America’s healthcare problem today.
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  • "The Official NAIRO White Paper" 
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  • "Article: IRO Case Manager" - Providing high-quality care while keeping healthcare costs under control is not the responsibility of just one group. It is a collaborative effort requiring inter-organizational cooperation.
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  • "Article: Independent Review Organizations for Peer Review" - It's no secret hospital peer review is a broken process. Its intent - improving the quality of care for patients by protecting them from substandard medical care - is an admirable goal and one that doctors and hospital risk managers agree on.
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  • "IROs Help Determine Medical Necessity of Growth Hormone Therapy" - Download this feature release article, which describes how IROs help health plans and payers make critical care and coverage decisions that improve healthcare delivery.
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  • "Article: A Consumer Guide to Handling Disputes with your Employer or Private Health Plan, 2005 Update.*" 
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    * The Kaiser Family Foundation is non-profit, private operating foundation dedicated to providing information and analysis on health care issues to policymakers, the media, the health care community and the general public. The Foundation is not associated with Kaiser Permanente or Kaiser Industries.