Currently Viewing:
National Association of ACOs Fall 2018
Currently Reading
Dr Joe Antos: CMS' Proposed MSSP Changes Don't Account for Variability in Healthcare
October 04, 2018
Tying Social Determinants of ACO Patients With High-Need, High-Cost Care
October 05, 2018
Dr Clif Gaus Highlights Excitement and Anxiety at NAACOS Fall 2018 Meeting
October 06, 2018
Dr Rob Fields Discusses How the Proposed MSSP Changes Impact Decisions Around ACOs
October 08, 2018
Predictability and Simplicity Needed to Help ACOs Take on Risk, Panelists Say at NAACOS
October 08, 2018
Are Commercial Payers Experiencing Success With ACO Partnerships?
October 08, 2018
Dr Katherine Schneider on Handling Variability in ACO Contracts
October 10, 2018
Stephen Nuckolls: 2 Years Isn't Enough Time for an ACO to Take on Risk
October 14, 2018
Dr Clif Gaus: Private Payer Engagement in ACOs Is Up
October 15, 2018
Allison Brennan: Trump's Administration Is Encouraging Risk, but Possibly Too Quickly
October 16, 2018
Dr Joe Antos: Proposed MSSP Changes Not a Major Shift in Policy for ACOs
October 18, 2018
Dr Rob Fields Discusses Why More ACOs Might Turn to Medicare Advantage
October 21, 2018
Stephen Nuckolls Outlines His Greatest Challenges and Opportunities of the Proposed MSSP Changes
October 22, 2018
Dr Katherine Schneider Highlights How Proposed MSSP Changes Build Stability Into Program
October 27, 2018
Allison Brennan Highlights Areas of Opportunity With Proposed MSSP Changes
October 28, 2018
Dr Rob Fields: Proposed MSSP Changes Likely to Stifle ACO Movement, Increase Consolidation
October 30, 2018
Dr Clif Gaus Discusses Measuring MSSP ACOs Savings
October 31, 2018
Dr Joe Antos: Attention Needs to Be on the Future Sustainability of Medicare
November 03, 2018
Dr Katherine Schneider: MSSP Proposed Changes Will Be a Step Back on Path to Value
November 07, 2018
Stephen Nuckolls Discusses What May Change Under the Proposed Pathways to Success
November 10, 2018
Allison Brennan Outlines the Greatest Challenges of the Proposed MSSP Changes
November 11, 2018
Dr Rob Fields Highlights Areas for Continued Innovation With ACOs
November 17, 2018
Dr Joe Antos Dissects the Challenge of Addressing Drug Prices
November 23, 2018
Allison Brennan Discusses Impacts of Certain Proposed Changes to the MSSP
November 24, 2018

Scott Hewitt Describes the Ongoing Shift to Value-Based Arrangements

While not every doctor is successful in value-based contracts, there is a shift in the right direction to more value-based care, explained Scott Hewitt, vice president, payment strategy and innovation, UnitedHealthcare.


While not every doctor is successful in value-based contracts, there is a shift in the right direction to more value-based care, explained Scott Hewitt, vice president, payment strategy and innovation, UnitedHealthcare.

Transcript

How have UnitedHealthcare’s value-based care contracts been improving?

So, we have a plethora of information or data points that we can look at, whether it’s reduced inpatient days, reduced [emergency room] use, increased [primary care physician] visits, lower specialty visits per 1000, but it’s more than just utilization metrics, it’s also quality metrics and when we look at quality metrics we’re seeing our providers are in a value-based contracting arrangement. So, it doesn’t necessarily need to be an [accountable care organization] but that they’re focused on and improving the care that members are receiving.

So, it might be lowering C-section rates, it might be focused on appropriate use of lab services, it might be prescription drug use or generic drug use, tier one drug use. There’s lots of different measures that we look at it at UnitedHealthcare and while not every provider is successful in these arrangements, if I look at my entire book of business, I am seeing the shift in the right direction.

 
Copyright AJMC 2006-2019 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up