Value for patients, value for providers, value for payers
UCHealth Coordinated Care Colorado providers understand that to be successful in value-based programs, we must deliver best practices in evidence-based preventative medicine and reduce the total cost of care. When better outcomes are delivered with efficiency, patients, providers and payers all win. And with seven commercial and Medicare Advantage value-based agreements in our portfolio, we have the experience and expertise to deliver.
2018 to 2019 Performance
AVOIDABLE ED, READMISSION, GENERIC DISPENSING, FINANCIAL PERFORMANCE & QUALITY PERFORMANCE:
5%
decrease in commercial potentially avoidable ED visits
=
Estimated savings
$376,000
(net savings of $2,850 per visit).
READMISSION:
4% to 11%
decrease in commercial patient readmission,
significantly outpacing market improvement.
Generic dispensing rate:
1.3% gain in a specific commercial program, equating to an approximately
6.5% decrease
in total pharmacy costs
Financial Performance:
5% decrease
in Medicare Advantage medical expenses.
2% to 4%
reduction in total medical costs for commercial patients.
Quality Performance:
40% increase
for a specific commercial program’s quality scores.
Our primary care practices receive the support they need to be successful.
- Collaboration with payers to coordinate data and positively impact patient care.
- Organization and coordination of medications, labs, imaging and specialty services; preventative and routine care reminders; and support for complex and chronic conditions.
- Solutions to impact quality and cost outcomes, e.g., performance dashboards, care management services and performance incentives.
- Follow-up care for patients following a hospital admission or emergency department visit.
- Administrative support consolidating contracting, performance reporting and financial distributions.