We work tirelessly to ensure that every Tennessean has real access to the right care and supports.
"We strive to honor each member’s individual goals, needs and values. Although we’re a large organization, we tailor our efforts to the State’s specific priorities, with an abiding sense of quality and sound fiscal stewardship. We are committed to our community in the broadest possible sense. We employ 3,800 people in Tennessee enterprise-wide, and invest time, money and resources to serve our communities. Our health plan is rooted in Tennessee, and we are committed to helping Tennesseans live healthier lives."
CEO — UnitedHealthcare Community Plan of Tennessee
Value-based care is a new approach to delivering better health, better care and lower costs. Rather than compensating physicians, hospitals, Federally Qualified Health Centers (FQHC) and other health care providers based on volume, VBC programs reward physicians for keeping people healthy, enhancing care coordination and following clinical best practices.
Episodes of Care
Our episodes based payment seeks to align provider incentives with successfully achieving a patient’s desired outcome during an “episode of care.” An episode of care is acute or specialist-driven health care delivered during a specific time period to treat a physical or behavioral health condition. Episodes reward high-quality care, promote the use of clinical pathways and evidence-based guidelines, encourage care coordination and reduce ineffective and/or inappropriate care.
Patient-Centered Medical Home (PCMH)
PCMH is a comprehensive care delivery model designed to improve the quality of primary care services for TennCare members, the capabilities and practice standards of primary care providers and the overall value of health care delivery to the TennCare population.
Tennessee Health Link (THL)
The primary objective of THL is to coordinate health care services for TennCare members with
the highest behavioral health needs. Through better coordinated behavioral and physical health
services, THL is meant to produce improved member outcomes, greater provider accountability,
flexibility when it comes to delivery of appropriate care for each individual and improved cost
control for the State.
TennStar serves as a value-based incentive opportunity that uses quality performance measure compliance. TennStar is intended for any of our providers who carry a combined product (i.e. Medicaid/DSNP) member assignment of at least 100 members. The performance measures of high interest to our plan and population are identified on an annual basis for inclusion
Partnering with critical organizations to address food insecurity
UnitedHealthcare employees volunteering at Second Harvest Food Bank of Middle Tennessee on Dec. 17, 2020. Left to right: Lauren Barca, Greta Murphy, Ute Strand, Cathy Woodberry, Suzy Sonnier, and Christopher Fox
UnitedHealthcare Community Plan of Tennessee recognizes the impact food insecurity can have on an individual’s overall wellbeing which is why we are proud to partner with Second Harvest and other local food banks. Food banks nationwide have been challenged by the COVID-19 pandemic – they are working around the clock to increase their capacity and meet the needs of the communities they serve as an unprecedented amount of people are in need of additional support. To unite in the fight against hunger, and better understand the challenges faced by our partners, our staff in Tennessee:
- Volunteered at over 15 food packing and distribution events in 2020
- Served over 2,500 families
- Collectively donated more than 50 hours of their time
- Committed to providing continuous support throughout 2021
Our response to the COVID-19 pandemic
To show our commitment to our members, providers, community partners and the State of Tennessee during the public health crisis we:
Donated and distributed:
- 31,500 masks to community partners including Christ Community Health Services, Community Alliance for the Homeless, Dayspring Health, Open Table Nashville, Nashville Rescue Mission, Nashville Metro Homeless Impact Division, Williamsburg Family Medicine Center, Woodbine Community Organization and Alliance Health Services.
- A $40K grant to the State of Tennessee mask initiative to purchase additional masks as back to school initiatives launched.
- A $20k grant to Tennessee Primary Care Association to purchase critical PPE resources for community health center partners.
- More than 250 units of hand sanitizer to community-based organizations.
- Christ Community Health Centers in Memphis with a $100k grant to support immediate needs for local health care for the homeless programs and longer-term needs to expand capacity. This grant was made possible by the United Health Foundation’s pledge of $2.5M to National Healthcare for the Homeless.
- Neighborhood Health in Nashville with $85K grant to support new rapid COVID-19 testing initiative for Nashville’s homeless population.
- Members in our Woodbine Community Housing First program with reliable food and medical supplies. Housing First serves our most socially and medically complex members facing homelessness.
- More than 1,639 healthy food deliveries (22,956 total meals) to high-risk members facing food insecurity and unable to access community resources.
- Drive-thru diaper, food and immunization events in partnership with ConnectUs Health, Nashville Diaper Bank, and Second Harvest Food Bank serving over 225 Middle Tennessee families.
UnitedHealthcare Community Plan of Tennessee was awarded the Health Equity Accreditation by the National Committee for Quality Assurance (NCQA) for meeting or exceeding rigorous requirements for health equity. NCQA is the National Committee for Quality Assurance, a private, nonprofit organization that Accredits and Certifies a wide range of health care organizations. Read more about this award.