Catalyst Health Network and UnitedHealthcare’s Accountable Care Organization Fostering High-Quality Care at Lower Cost
October 12 2017 - 10:00AM
Business Wire
- Catalyst Health Network (Catalyst)
has nearly doubled the number of annual preventive screenings for
cervical cancer, breast cancer and colorectal cancer
- Catalyst and UnitedHealthcare’s
accountable care organization lowered health care costs in North
Texas by more than $11 million in 2016
More people in the Dallas metroplex are accessing high-quality
care at lower cost through Catalyst Health Network (Catalyst) and
UnitedHealthcare’s accountable care organization (ACO).
The accountable care relationship was established in 2015 for
people enrolled in UnitedHealthcare employer-sponsored and
individual health plans, and has grown to include more than 450
primary care providers across North Texas.
Catalyst is now exceeding national standards for screenings of
important preventive services and treatment of specific illnesses.
Catalyst physicians have nearly doubled the number of annual
preventive screenings for cervical cancer, breast cancer and
colorectal cancer.
These cancers rank among the Top 10 leading causes of cancer
death in the United States, but can be prevented if detected early.
UnitedHealthcare shares data with Catalyst to inform doctors of
patients’ underlying medical conditions, past treatments, gaps in
care, medications prescribed and future care needs. The high
performance of this ACO has touched the lives of thousands of
UnitedHealthcare plan participants through preventive screenings,
including:
- cervical cancer screenings have
increased, from 4,300 to 8,500 people annually;
- breast cancer screenings have
increased, from 1,600 to 3,100 people annually; and
- colorectal cancer screenings have
increased, from 3,000 to 5,800 people annually.
Comprehensive diabetes care has also improved, more than
doubling the number of patients living with diabetes receiving the
necessary care to manage their condition in the last two years.
Since 2015, Catalyst has reported that more than 1,500 additional
UnitedHealthcare plan participants have received regular Hemoglobin
A1C (HbA1c) testing, eye exams, monitoring for nephropathy and
blood-pressure control.
“Our relationship with UnitedHealthcare is making a positive
impact on our patients’ health and the care they receive from our
physicians,” said Christopher Crow, M.D., president of Catalyst
Health Network. “We are extremely proud of the engagement from our
providers and practices. It is great to live up to our purpose and
put dollars back into the communities we serve. We appreciate the
opportunity to work with UnitedHealthcare to provide highly
coordinated and quality health care.”
In 2016, Catalyst care providers reduced health care spend by
more than $11 million for over 60,000 UnitedHealthcare plan
participants. In addition to quality improvements, savings were
also driven by a 44-percent reduction in out-of-network lab
procedures and a 30-percent reduction in out-of-network outpatient
surgeries performed for patients participating in the ACO.
Accountable care programs shift care provider reimbursement away
from the traditional fee-for-service delivery model to a
value-based approach in which physicians are eligible to receive
payment incentives based on patient satisfaction and achieving
certain clinical measures. This collaboration also improves the
ability to identify patients at high risk and help them reduce
emergency room visits and readmissions to the hospital, manage
their chronic health conditions and take their needed
medications.
“Our collaboration with Catalyst affirms that better integrating
data among care providers and health plans leads to improved
outcomes for patients,” said Scott Flannery, CEO of
UnitedHealthcare of North Texas. “Catalyst is a leader in
addressing both the quality and cost of health care, and together
we are improving patient care and enhancing people’s ability to
live healthier lives.”
More than 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 $54 billion. By
the end of 2018, UnitedHealthcare expects that figure to reach $65
billion.
For more information about UnitedHealthcare’s changing
relationships with care providers and how value-based programs are
helping to improve quality and people’s health, visit
www.UHC.com/valuebasedcare and download the Value-based Care
Report.
About Catalyst Health
Network
Catalyst Health Network is a clinically integrated network of
primary care physicians who have come together to provide
high-quality care, helping communities thrive. With 465 primary
care providers, 140 office locations, 750,000 patients, and 70 care
team members, Catalyst Health Network operates as a non-profit
organization improving health, coordinating care, and lowering cost
– creating sustainable and predictable value. The network is
comprised solely of physician members and managed by StratiFi
Health, a physician services and population health organization.
For more information, visit catalysthealthnetwork.com or follow
@CatalystHN on Twitter.
About UnitedHealthcare
UnitedHealthcare 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 @UHC on Twitter.
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version on businesswire.com: http://www.businesswire.com/news/home/20171012005497/en/
UnitedHealthcareDustin Clark,
214-438-8251dustin.clark@uhc.comorCatalyst Health NetworkFelicia
Bell, 972-388-5512fbell@catalysthealthnetwork.com
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