Florida Doctors Earn $9.1 Million in Bonus Payments from UnitedHealthcare for Improving Health Outcomes and Closing Gaps in C...
July 27 2015 - 8:00AM
Business Wire
Nearly 800 care providers in Florida recognized
with 2014 PATH Excellence in Patient Service Awards for hitting key
quality measures in treatment of Medicare Advantage members
Program is helping encourage transition to
value-based payments from fee-for-service approach
Approximately $9.1 million in bonus payments went from
UnitedHealthcare to nearly 800 Florida care providers named winners
of the PATH Excellence in Patient Service Awards.*
The recipients achieved the highest adherence levels for key
quality measures by successfully closing gaps in care when treating
UnitedHealthcare Medicare Advantage members. They are among more
than 4,000 care providers nationwide who received the award and
earned more than $54 million in bonus payments.
The PATH program annually rewards physicians who meet certain
performance-based criteria, including achieving or exceeding
compliance targets for 17 specific Healthcare Effectiveness Data
and Information Set (HEDIS) measures, including the percentages of
eligible UnitedHealthcare Medicare Advantage members who received a
breast cancer screening or colorectal cancer screening. Other
measures evaluate the percentages of members who adhere to their
medications to help manage their diabetes, high blood pressure or
cholesterol.
Health plans and the Centers for Medicare & Medicaid
Services use HEDIS as a tool to measure performance on important
dimensions of health care and service.
“We are committed to recognizing and rewarding physicians in
Florida for consistently helping our plan participants live
healthier lives,” said Sam Ho, M.D., chief medical officer of
UnitedHealthcare. “As UnitedHealthcare continues building deeper,
more collaborative relationships with care providers, the PATH
Excellence in Patient Service Awards are just one step we are
taking to support the transition to a value-based health care
system in which payment is increasingly based on ensuring the
people we serve receive the quality care they need.”
According to the Centers for Disease Control and Prevention,
fewer than half of adults ages 65 and older were up to date with
core preventive services, such as tests and screenings, despite
getting regular check-ups from their doctors.** Because many
chronic conditions are more common in older adults, preventive care
becomes even more important with advancing age. Preventive care can
identify health issues at an early stage, before they have an
opportunity to intensify and lead to costly complications that can
have a negative impact on people’s quality of life.
UnitedHealthcare created the PATH program to help its Medicare
Advantage members be as healthy as possible by encouraging greater
use of preventive health care services and proactive monitoring of
chronic conditions. The program provides support and incentives for
both care providers and Medicare Advantage members to enhance their
engagement in their health care and willingness to take action on
their doctors’ treatment plan, thereby closing gaps in care.
In 2015, nearly 1 million UnitedHealthcare Medicare Advantage
members are being treated by doctors who participate in the PATH
program.*
The PATH program is part of UnitedHealthcare’s commitment to
help shift the nation’s health care system to one that rewards
quality and value instead of the volume of procedures performed. To
facilitate this shift, the company offers a variety of
fee-for-value payment arrangements, including incentive programs
like PATH, performance-based contracting, bundled payments and
accountable care organization (ACO) relationships.
Care providers nationwide are showing strong interest in a shift
to value-based care. UnitedHealthcare’s total payments to
physicians and hospitals that are tied to value-based arrangements
have nearly tripled in the last three years to $38 billion.* By the
end of 2018, UnitedHealthcare expects that figure to reach $65
billion.*
Serving nearly one in five Medicare beneficiaries,
UnitedHealthcare is the largest business dedicated to the health
and well-being needs of seniors and other Medicare
beneficiaries.*
For more information about UnitedHealthcare’s full spectrum of
value-based initiatives, visit www.AccountableCareAnswers.com.
About UnitedHealthcare
UnitedHealthcare is dedicated to helping people nationwide live
healthier lives by simplifying the health care experience, meeting
consumer health and wellness needs, and sustaining trusted
relationships with care providers. The company offers the full
spectrum of health benefit programs for individuals, employers,
military service members, retirees and their families, and Medicare
and Medicaid beneficiaries, and contracts directly with more than
850,000 physicians and care professionals, and 6,000 hospitals and
other care facilities nationwide. UnitedHealthcare is one of the
businesses of UnitedHealth Group (NYSE: UNH), a diversified Fortune
50 health and well-being company. For more information, visit
UnitedHealthcare at www.uhc.com or follow @myUHC on Twitter.
*Internal UnitedHealthcare Data,
2015**http://www.cdc.gov/aging/services/
Plans are insured through UnitedHealthcare Insurance Company or
one of its affiliated companies, a Medicare Advantage organization
with a Medicare contract and a Medicare- approved Part D sponsor.
Enrollment in the plan depends on the plan’s contract renewal with
Medicare.
This information is not a complete description of benefits.
Contact the plan for more information. Limitations, co-payments,
and restrictions may apply. Benefits, premium and/or
co-payments/co-insurance may change on January 1 of each
year.
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UnitedHealthcareSarah Bearce,
952-931-4732Sarah_Bearce@uhc.com
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