Louisiana Physicians Earn More Than $3.6 Million in Bonus Payments for Improving Health Outcomes for UnitedHealthcare Medicaid Members
UnitedHealthcare Community Plan of Louisiana awarded more than $3.6 million in bonus payments to 248 physician practices statewide for improving the quality of care for people enrolled in UnitedHealthcare’s Medicaid plans.
NEW ORLEANS (March 3, 2016) – UnitedHealthcare Community Plan of Louisiana awarded more than $3.6 million in bonus payments to 248 physician practices statewide for improving the quality of care for people enrolled in UnitedHealthcare’s Medicaid plans.
Physician practices earning bonuses achieved the highest levels for key quality measures during a six-month period in 2015. These include conducting preventive health screenings; helping patients become more informed and engaged in their health care decisions; and focusing on quality performance metrics that the state has identified for the Medicaid program, such as adolescents’ well visits, diabetic screenings and eye exams.
For example, one physician practice in Shreveport exceeded its goals and improved its patients’ access to health services, as illustrated by the following:
Adolescent well care: Prior to its value-based partnership with UnitedHealthcare, the physicians saw about 53 percent of adolescents getting well-checks. Six months into the partnership, more than 70 percent of patients had their well-check, a 17 percent increase.
Child well care: Prior to the relationship, 75 percent of children ages 3 to 5 received well care. Under this relationship, that number increased to 83.5 percent.
Chlamydia screening in women: The percentage of women being screened for chlamydia increased from 59 percent prior to the relationship to nearly 72 percent during the first six months.
More than 75 percent of UnitedHealthcare Community Plan members in Louisiana are accessing care from a physician practice that has earned a quality bonus. UnitedHealthcare Community Plan of Louisiana serves more than 290,000 Medicaid plan participants statewide.
“As we move to value-based reimbursement in Louisiana, physicians need a good insurance partner to help them realize the quality and cost-effective medicine that is required to succeed,” said Keith M. Perrin, M.D., Children's Pediatrics in New Orleans. “Success means delivering quality medicine with better patient outcomes. It is key to remember that overutilization of health care services can occasionally be harmful to patients.”
“Thousands of UnitedHealthcare Medicaid plan participants statewide receive quality, compassionate care from hundreds of physicians who deliver more personalized and better connected care,” said Dr. Ann Kay Logarbo, medical director, UnitedHealthcare Community Plan of Louisiana. “We are grateful for the opportunity to recognize and reward Louisiana physicians for embracing the value-based care model and helping Medicaid members live healthier lives.”
These quality programs are part of UnitedHealthcare’s efforts to help shift the nation’s health care system to a value-based care model that rewards the quality of patients’ health outcomes and has the potential to reduce overall costs.
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 tripled in the last three years to $45 billion. By the end of 2018, UnitedHealthcare expects that figure to reach $65 billion.
For more information about UnitedHealthcare’s full spectrum of value-based initiatives, visit www.AccountableCareAnswers.com.
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 1 million 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.