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United States : ProHealth Physicians and UnitedHealthcare Collaborate to Improve Patient Care in Connecticut.

ProHealth Physicians, Inc., and UnitedHealthcare have launched an accountable care organization (ACO) to provide enhanced, coordinated care to more than 11,000 Connecticut residents enrolled in UnitedHealthcare s employer-sponsored health plans, including UnitedHealthcare- and Oxford Health-branded plans.

ProHealth Physicians is a leading multispecialty group practice with more than 350 primary care and specialty providers practicing at nearly 100 locations throughout Connecticut s eight counties. ProHealth and UnitedHealthcare have been collaborating for the last several years on programs that better integrate and enhance patient care, most recently on several programs to help improve the health of UnitedHealthcare s Medicare Advantage beneficiaries.

This new ACO will help continue Connecticut s shift to a health care system that rewards quality and value rather than the volume of procedures performed. ProHealth and its 350 care providers will manage all aspects of patients care, providing the right care in the right place at the right time. Physicians will be eligible to receive payment incentives based on evidence-based measures, such as hospital readmission rates, disease management and prevention, patient safety and care delivery, as well as total cost savings and patient satisfaction.

This partnership further enhances our longstanding relationship with UnitedHealthcare and enables us to better serve our community s unique health care needs, said James Cox-Chapman, M.D., ProHealth s Chief Medical Officer. With UnitedHealthcare, we continue to increase patient engagement to achieve better health outcomes and improve patient satisfaction, while reducing the overall cost of care.

UnitedHealthcare employer-sponsored plan participants who currently receive care from ProHealth providers will not have to do anything differently to receive the benefits of this latest collaboration, which include care coordination and follow-up.

UnitedHealthcare s collaboration with ProHealth Physicians underscores the deeper relationships the company is building with local care providers to enhance health services and improve the coordination of their care for our plan participants, said Stephen Farrell, CEO, UnitedHealthcare of New England. This ACO with ProHealth will help deliver better quality, improved outcomes and lower costs for our health plan customers in Connecticut.

Care providers nationwide are showing strong interest in a shift to value-based care. UnitedHealthcare s physician and hospital reimbursements that are tied to accountable care programs, centers of excellence and performance-based arrangements have nearly tripled in the last three years to $36 billion. The company projects this reimbursement will reach $65 billion by 2018.

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Publication:Mena Report
Geographic Code:1U1CT
Date:Dec 12, 2014
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