UnitedHealthcare Expands Use of Bundled Payments with Medicare Advantage Health Care Providers
April 10 2019 - 9:30AM
Business Wire
Company broadens collaboration with physicians and hospitals
across more than 30 states to improve quality and lower
costs
UnitedHealthcare is advancing its collaboration with care
providers and the government to deliver high-quality care and help
people live healthier lives with the UnitedHealthcare Care Bundles
Program.
The initiative builds upon UnitedHealthcare’s existing work with
the Centers for Medicare & Medicaid Services’ Bundled Payments
for Care Improvement Advanced (BPCI Advanced) program for
fee-for-service Medicare, and expands the company’s bundled payment
offerings to care providers participating in its Medicare Advantage
plan networks.
The UnitedHealthcare Care Bundles Program will offer care
providers in more than 30 states the opportunity to participate in
bundled payment models for their patients enrolled in
UnitedHealthcare Medicare Advantage plans for certain procedures,
including hip and knee replacements, spinal fusions and coronary
bypasses. This is in addition to the ability to participate with
UnitedHealthcare in the BPCI Advanced program.
Bundled payments emphasize high-quality, coordinated health care
at a lower cost by setting price and quality standards for
procedures and follow-up treatments, and then rewarding
participating care providers for exceeding these standards. They
are a shift away from the common fee-for-service model that pays
for each treatment.
“Our extensive data and technology experience positions
UnitedHealthcare to collaborate with care providers to support
better health and better care, at a lower cost,” said Jeff
Meyerhofer, president of bundled payment solutions,
UnitedHealthcare Medicare & Retirement. “We are making it
easier for care providers by managing both the fee-for-service and
Medicare Advantage models, taking on the administrative burden and
tailoring our services to their individual needs, so they can focus
on caring for their patients.”
Through the program, UnitedHealthcare will provide partnering
care providers with scalable services and support, including care
management solutions to help patients receive a quality experience
from pre-operative education to post-acute care. The program also
offers patient engagement tools, performance analytics and
consulting, and payment administration services.
The UnitedHealthcare Care Bundles Program is part of the
company’s ongoing commitment to value-based care. By the end of
2020, UnitedHealthcare expects to have $75 billion in care provider
reimbursements tied to value-based arrangements annually.
Currently, more than 3 million people enrolled in UnitedHealthcare
Medicare Advantage plans are treated by care providers in
value-based models.
For more information on the UnitedHealthcare Care Bundles
Program, visit www.uhgcarebundles.com.
About
UnitedHealthcareUnitedHealthcare is dedicated to helping
people live healthier lives and making the health system work
better for everyone by simplifying the health care experience,
meeting consumer health and wellness needs, and sustaining trusted
relationships with care providers. In the United States,
UnitedHealthcare offers the full spectrum of health benefit
programs for individuals, employers, and Medicare and Medicaid
beneficiaries, and contracts directly with more than 1.2 million
physicians and care professionals, and 6,500 hospitals and other
care facilities nationwide. The company also provides health
benefits and delivers care to people through owned and operated
health care facilities in South America. UnitedHealthcare is one of
the businesses of UnitedHealth Group (NYSE: UNH), a diversified
health care company. For more information, visit UnitedHealthcare
at www.uhc.com or follow @UHC on Twitter.
Plans are insured through UnitedHealthcare Insurance Company or
one of its affiliated companies, a Medicare Advantage organization
with a Medicare contract. Enrollment in the plan depends on the
plan’s contract renewal with Medicare.
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version on businesswire.com: https://www.businesswire.com/news/home/20190410005089/en/
Taylor
JosephUnitedHealthcare952.931.5430Taylor.Joseph@uhc.com
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