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Published on October 28, 2016

UHS Earns Recognition for Improving Health Outcomes, Addressing Care Opportunities for UnitedHealthcare Medicare Advantage Members

UHS was recently recognized with the 2015 UnitedHealthcare PATH Excellence in Patient Service Award for commitment to improving health outcomes for people enrolled in UnitedHealthcare’s Medicare Advantage plans.

UHS earned the award by achieving performance metrics in the UnitedHealthcare PATH Program and successfully addressing care opportunities when treating UnitedHealthcare’s Medicare Advantage members.

UnitedHealthcare created the PATH program to help people enrolled in its Medicare Advantage plans be as healthy as possible by encouraging greater use of preventive health care services and proactive monitoring of chronic conditions.

The program annually rewards physicians who meet certain performance-based criteria, including achieving or exceeding targets established by the Centers for Medicare & Medicaid Services (CMS) for specific Healthcare Effectiveness Data and Information Set (HEDIS) measures. Health plans and CMS use HEDIS as a tool to measure performance on important dimensions of health care and service.

Examples of the quality measures used to evaluate care providers’ performance in the 2015 PATH program include:

  • the percentages of eligible UnitedHealthcare Medicare Advantage members who received a breast cancer screening or colorectal cancer screening; 
  • the percentage of members with diabetes who received an eye exam; and, 
  • the percentage of members who received advice from their doctor to maintain or enhance their level of physical activity.

By achieving the PATH program’s performance metrics, UHS also proactively addressed care opportunities for UnitedHealthcare’s Medicare Advantage members. A care opportunity exists when an individual hasn’t received a health care service or medication recommended based on his or her age or health status. In 2015, care providers nationwide participating in the PATH program addressed nearly 1.8 million care opportunities for UnitedHealthcare’s Medicare Advantage members.

“We are grateful for UHS’ efforts to ensure our Medicare Advantage members receive the preventive health care services they need,” said Efrem Castillo, M.D., chief medical officer of UnitedHealthcare Medicare & Retirement. “These awards are one of the ways we are supporting the transition to a value-based health care system that rewards physicians for the quality of care they deliver to the people we serve.”

UHS is a locally owned, not-for-profit, 916-bed hospital and healthcare system serving Greater Binghamton and surrounding counties. Founded in 1981, UHS provides a full range of medical, surgical, rehabilitative and long-term care services from more than 60 locations around New York’s Southern Tier.

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