More than 8,500 UnitedHealthcare employer-sponsored and Oxford
Health plan participants in Connecticut can benefit from improved care
coordination and enhanced health services
Saint Francis HealthCare Partners (SFHCP) and UnitedHealthcare
are collaborating to improve care coordination and enhance health
services through a new accountable care relationship that will benefit
more than 8,500 Connecticut residents enrolled in UnitedHealthcare’s
employer-sponsored and Oxford health plans.
SFHCP is a partnership between Saint Francis Hospital and Medical Center
and a network of primary care and specialty physicians that has been
recognized for its clinically integrated network focused on value and
innovation in patient care. For more than 20 years, it has collaborated
with physicians, hospitals and health plans to improve the health of
local communities.
SFHCP and UnitedHealthcare’s partnership will expand on the successful
work that began a few years ago focusing on UnitedHealthcare’s Medicare
Advantage members. This collaboration continues to shift Connecticut’s
health care system to one that rewards quality and value instead of the
volume of procedures performed.
“We are pleased to add UnitedHealthcare to our portfolio of
collaborative efforts with health plans,” said Jess Kupec, President &
CEO of Saint Francis HealthCare Partners. “SFHCP has made a
significant investment in population health management, and we look
forward to a successful partnership with UnitedHealthcare as we continue
to improve the quality and the cost-effectiveness of our delivery
system.”
UnitedHealthcare will complement SFHCP’s own data by providing
additional support needed to manage overall population health, including
technology and information that will help SFHCP-affiliated physicians
take specific actions to improve quality and lower costs. Actionable
data can include patient profiles, identifying specific gaps in care,
and receiving real-time information about emergency room and inpatient
admissions. Patient navigators may also be used to support
community-based care coordination, such as helping with transition plans
after patients are discharged from the hospital, scheduling follow-up
appointments and closing care gaps.
“UnitedHealthcare is working even more collaboratively with physicians
so we can help enhance the health of our plan participants in meaningful
ways,” said Stephen Farrell, CEO, UnitedHealthcare of New England.
“Sharing accountability with care providers – and making sure they have
the resources to succeed as they transition to managing population
health – will ensure the health care experience remains focused on
people’s individual care needs.”
The Accountable Care arrangement will further support the transition
from a fee-for-service compensation model to a value-based approach in
which physicians are eligible to receive payment incentives based on
patient satisfaction, achieving certain evidence-based measures – such
as hospital readmission rates, disease management and prevention, and
patient safety – as well as total cost savings.
UnitedHealthcare’s accountable care programs touch as many as 13 million
people, delivered in part through more than 750 total accountable care
arrangements nationwide, as the organization engages in deeper, more
collaborative relationships with physicians and hospitals.
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 $43 billion. By the end of 2018, UnitedHealthcare
expects that figure to reach $65 billion.
UnitedHealthcare serves more than 500,000 Connecticut residents with a
network of 43 hospitals and other care facilities and more than 14,500
physicians and other care providers statewide.
For more information about UnitedHealthcare’s full spectrum of
value-based initiatives, visit www.uhc.com/valuebasedcare.
About Saint Francis HealthCare Partners
Saint
Francis HealthCare Partners, Inc. is a joint venture between a
community of exceptional physicians and Saint Francis Hospital and
Medical Center. SFHCP is a proud member of Trinity Health – New England.
It is a vehicle through which the clinical and related economic
interests of patients, providers and payors become aligned. Throughout
its 20-year history, the organization has been noted for its clinically
integrated network of over 1,000 healthcare providers.
For more
information, please visit www.sfhcp.org.
About Saint Francis Hospital and Medical Center
Saint
Francis Hospital and Medical Center has been an anchor institution in
north central Connecticut since 1897 and is now a member of Trinity
Health – New England. Licensed for 617 beds and 65 bassinets, it is a
major teaching hospital and the largest Catholic hospital in New
England. Other Trinity Health – New England entities include Mount Sinai
Rehabilitation Hospital, the Connecticut Joint Replacement Institute,
the Hoffman Heart and Vascular Institute of Connecticut, Smilow Cancer
Hospital Yale-New Haven at Saint Francis, the Joyce D. and Andrew J.
Mandell Center for Comprehensive Multiple Sclerosis Care and
Neuroscience Research, Saint Francis HealthCare Partners and
Sisters of Providence Health System, Springfield, Mass, along with
Johnson Memorial Hospital, and Home and Community Health Services.
For
more information, visit www.stfranciscare.com.
About UnitedHealthcare
UnitedHealthcare
is dedicated to helping people nationwide live healthier lives by
simplifying the healthcare 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 850,000 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.
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