UnitedHealthcare Pioneers National ACO Product; NexusACO Expands Access to Quality Care and Lowers Costs
December 07 2016 - 10:30AM
Business Wire
- New plan design is built around
UnitedHealthcare’s relationships with accountable care
organizations (ACOs) and Tier 1 physicians
UnitedHealthcare has introduced NexusACO™, a new health benefits
option for 2017 that offers access to highly accomplished care
providers who have proven results for delivering quality and
efficient care, resulting in better health outcomes and lower
costs.
NexusACO will be available in 15 markets across the country to
self-funded employers with 100 or more employees during this fall’s
open enrollment period, with coverage beginning Jan. 1, 2017.
“People enrolled in UnitedHealthcare’s NexusACO plan will be
able to choose a local primary care physician who will serve as a
trusted expert who knows them, understands their needs and keeps
them healthy while coordinating with other care providers
supporting their care,” said Jeff Alter, CEO of UnitedHealthcare
Employer & Individual. “We believe people enrolled in the
NexusACO plan will have a more satisfying experience, and will find
it easier to navigate their health care options.”
NexusACO’s Tier 1 includes physicians associated with local
accountable care organizations (ACOs) – organized groups of
physicians, hospitals and other care providers working together to
coordinate care for a designated patient population. ACOs
participate in incentive programs designed to improve quality
standards while providing more efficient care.
Through the NexusACO plan, UnitedHealthcare will collaborate
with participating care providers to improve the coordination of a
patient’s care, including sharing timely data and information about
emergency room visits, hospital admissions and other care received
outside the doctor’s office.
NexusACO enables national employers to offer a single plan
design nationwide, giving employees access to in-network Tier 1
care providers.
NexusACO delivers value to consumers and employers through three
key features:
- Better care coordination.
NexusACO plan participants will partner with a primary care
physician (PCP), a trusted medical resource who helps to navigate
the health care system, including specialists, hospitals and other
care providers.
- Promotes better health outcomes.
NexusACO provides access to care providers who proactively engage
their patients more frequently, ensuring at-risk patients receive
timely, appropriate health screenings, and helping people manage
chronic diseases like diabetes, heart disease and arthritis.
- Lower costs for high-quality health
care. Employers who choose NexusACO may achieve savings on
overall health care costs. These savings come from the plan’s
emphasis on encouraging employees to use in-network Tier 1 care
providers to coordinate their care.
The 15 markets with ACOs participating in NexusACO include:
Phoenix and Tucson, Ariz.; Los Angeles, Orange County and San
Francisco Bay Area, Calif.; Denver; Chicago; Northern New Jersey;
Cleveland and Columbus, Ohio; Rhode Island (statewide); Austin,
Houston and San Antonio, Texas; and Richmond, Va. Additional ACO
markets will be added to the network in 2017.
Continued Growth of Value-Based
CareMore than 14 million people enrolled in
UnitedHealthcare plans across the country – nearly one in every
three plan participants – are accessing care from care providers
participating in value-based arrangements. UnitedHealthcare’s total
payments to physicians and hospitals that are tied to value-based
arrangements have more than tripled since 2011 to nearly $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
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/20161207005221/en/
UnitedHealthcareLynne High,
952-979-5861lynne_m_high@uhc.com
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