CharterCARE and UnitedHealthcare to Improve Medicaid Patients' Health and Health Care in Rhode Island
November 16 2016 - 12:24PM
Business Wire
- Accountable care collaboration to
enhance how the health system cares for patients
- More resources committed to sharing
information and coordinating patient care
CharterCARE Health Partners, CharterCARE Provider Group RI, LLC,
and UnitedHealthcare Community Plan of Rhode Island have launched a
Medicaid accountable care program to improve health outcomes,
increase patient satisfaction and reduce the overall cost of care
for people enrolled in UnitedHealthcare Medicaid plans.
UnitedHealthcare is collaborating with physician groups as part
of the State of Rhode Island Accountable Entities Pilot to improve
coordination of care for people enrolled in Medicaid. Approximately
5,000 people enrolled in UnitedHealthcare’s Medicaid health plans
in Rhode Island will benefit from this collaboration with
CharterCARE.
The Reinventing Medicaid Act of 2015 is a comprehensive,
progressive package of reforms that positions Rhode Island to
improve access to high-quality care and achieve more than $100
million in annual Medicaid savings without cutting Medicaid
eligibility or reducing benefits, according to the state.
“From day one, the top priority in our work to transform
Medicaid has been to provide Rhode Islanders with better care and
achieve healthier outcomes for more people,” said Rhode Island Gov.
Gina M. Raimondo. “Accountable entities like these will reward
collaboration and help shift our entire health care system toward a
structure that pays for outcomes and quality, rather than volume of
services. I commend CharterCARE and UnitedHealthcare for leading
the way in this effort.”
UnitedHealthcare, the CharterCARE system and CharterCARE
Provider Group RI will work together to better coordinate patient
care by using shared technology and information about emergency
room visits and hospital admissions, and services that help
patients manage their chronic health conditions and encourage
healthy lifestyles. The accountable care program also changes the
incentives so that care providers have a shared responsibility for
the overall cost of care, moving away from a system that reimburses
for quantity of services provided to one that rewards the quality
of patients’ health outcomes and has the potential to reduce
overall costs.
“Through this accountable care collaboration with
UnitedHealthcare, we are well positioned to increase services and
offer more enhanced patient care for Medicaid enrollees,” said John
J. Holiver, FACHE, CEO of CharterCARE. “This new relationship will
enable us to start applying our innovative Prospect Coordinated
Regional Care model to improve health outcomes, increase patient
satisfaction and reduce the overall cost of care for people
enrolled in Medicaid.”
UnitedHealthcare will support overall population health, giving
the entire care team clear, actionable data about individual
patients’ health needs, potential gaps in care and proactive
identification of high-risk patients. Community-based health
workers and care managers will support community-based care
coordination, such as helping with planning after a patient is
discharged from the hospital and scheduling follow-up
appointments.
“We look forward to working with the CharterCARE system and
CharterCARE Provider Group RI to enable people to receive more
personalized and better coordinated care, which will significantly
enhance their ability to live healthier lives,” said Patrice
Cooper, CEO of UnitedHealthcare Community Plan of Rhode Island.
UnitedHealthcare serves nearly 300,000 Rhode Islanders with a
network of 15 hospitals and more than 4,500 physicians and other
care providers statewide.
Nearly 15 million people enrolled in UnitedHealthcare plans
across the country have access to accountable care programs,
delivered in part through more than 800 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 more than $52 billion. By
the end of 2018, UnitedHealthcare expects that figure to reach $65
billion.
For more information about UnitedHealthcare’s full spectrum of
value-based initiatives, visit www.UHC.com/valuebasedcare.
About CharterCARE Health
PartnersCharterCARE Health Partners is a coordinated
regional care network comprised of two acute care hospitals, a
large nursing home facility, a regional cancer center, a
rehabilitation center, a community primary care center and a home
health services company. CharterCARE also operates a school of
nursing. CharterCARE Provider Group RI, LLC is large independent
practice association (IPA) with more than 500 providers closely
aligned with the CharterCARE system. Our coordinated regional care
model allows us to deliver services to patients at multiple levels
of care, at the right time and place and at lower costs. This way
of organizing and delivering health care services enables us to
optimize population health management strategies in Rhode Island.
CharterCARE is a joint venture company that leverages both the
health care management expertise and capital strength of Prospect
Medical Holdings, Inc., a California-based company that owns and
operates hospitals in Texas, California, Pennsylvania and New
Jersey.
About
UnitedHealthcareUnitedHealthcare is dedicated to helping
people nationwide live healthier lives by simplifying the health
care 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 1 million 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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version on businesswire.com: http://www.businesswire.com/news/home/20161116006284/en/
UnitedHealthcareMaria Gordon Shydlo,
914-933-4613maria_g_shydlo@uhc.comorCharterCAREOtis Brown,
401-456-3070obrown@chartercare.orgorState of Rhode IslandSophie
O’Connell, 401-275-3837sophie.oconnell@ohhs.ri.gov
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