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.
Dr Kathy Zackowski Discusses the Importance of Rehabilitation Research and Trials in MS
April 26th 2024Kathy Zackowski, PhD, National MS Society, expresses the inherent value of quality rehabilitation trials for broadening clinical understandings of multiple sclerosis (MS) and bettering patient outcomes.
Read More
Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
Listen
Oncology Onward: A Conversation With Penn Medicine's Dr Justin Bekelman
December 19th 2023Justin Bekelman, MD, director of the Penn Center for Cancer Care Innovation, sat with our hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, for our final episode of 2023 to discuss the importance of collaboration between academic medicine and community oncology and testing innovative cancer care delivery in these settings.
Listen
Standard Criteria for Loss of Ambulation Needed in DMD
April 19th 2024A recent study suggests the differences between ambulation definitions for patients with Duchenne muscular dystrophy (DMD) can impact the identification of ambulant vs nonambulant individuals, and standard criteria across settings are needed.
Read More