Developing quality benchmarks for consumer-directed health plans will be the mission of a committee launched by the American Accreditation HealthCare Commission, which is still primarily known by its original acronym, URAC. "We recognize that consumer-driven health care is still in its infancy and that there is not yet consensus on quality benchmarks," says Garry Carneal, URAC's president and CEO. URAC wants to launch the new accreditation program by the end of this year.... Guaranteed health insurance for every American should be a reality by 2010, says the Institute of Medicine. This is the first time the IOM has recommended universal coverage. Unfortunately, the IOM committee that came to this conclusion fails to describe just how society can go about achieving this elusive goal.