Leadership Message

Happy 2020 everyone!   The new year brings new challenges and in this edition of our newsletter, you will find information supporting many of our key endeavors—chief among them our work to diligently curb medical costs in three arenas: inpatient utilization, emergency department utilization and pharmacy.   Our Pharmacy Integration content explores in-depth the advantages […]

Letter from the President

Dear Colleagues,   As we look toward a new year, I wanted to reach out to all of our valued UCHealth Integrated Network providers and partners to discuss our shared goals of improving patient outcomes and reducing total cost of care.   I understand our success in each value-based contract is dependent on the active […]

Services and Information

Services provided to UCHealth Integrated Network members.   Your membership in UCHealth Integrated Network offers you access to competitive, value-based contracts. Did you know it also includes a number of other services managed by a centrally located team? A comprehensive list follows; for more information about any of these services, please contact Paul Staley or […]

Clinical Programs

Transitional Care Management—Frequently Asked Questions (FAQs)   Why is transitional care management (TCM) important? Transitioning care effectively is a core competency for all high-performing, value-based organizations, regardless of payer mix. Transition of care support is pivotal to achieving the Quadruple Aim:   What current procedural terminology (CPT) codes do I use to report TCM? The […]

Pharmacy Integration

Januvia (sitagliptin) for diabetes treatment: A $450,000 annual cost opportunity.   Dipeptidyl peptidase-4 (DPP-4) inhibitors, e.g., sitagliptin, saxagliptin, linagliptin and alogliptin, are commonly prescribed medications for the treatment of type 2 diabetes, with the most common being Januvia (sitagliptin). Unfortunately, Januvia provides limited A1c lowering of 0.5% to 0.7%, costs approximately $5,000 annually, and does […]

Value-Based Contracts

New Programs from Anthem   As most of you are probably aware, January 1, 2020 brought the end to our participation in Anthem’s commercial value-based program Enhanced Personal Health Care (EPHC). The network was successful over three program years in improving quality outcomes and generating savings that were shared among network providers.   We are […]

Network News

Welcome new members!   We are pleased to welcome Mountain View Family Medicine to our clinically integrated network.   Mountain View Family Medicine offers preventative health care and pediatric and adult health care services to patients in Fort Collins and surrounding areas. A locally owned, family medical practice with six providers and additional support staff, […]

Leadership Message

Increasing Our Shared Savings   A word from our medical director, Dr. Austin Bailey.   Hello everyone. It’s that time of year when we learn about our collective performance in our value-based programs for the previous year, and whether we have achieved shared savings dollars to distribute to you. As we have been discussing in […]

Clinical Programs

Transitional care management (TCM) FAQs.   Q: What current procedural terminology (CPT) codes do I use to report TCM?   A: There are two CPT codes that may be used: 99495 Transitional Care Management Services with the following required elements: Interactive contact via phone, email, or in person with patient and/or caregiver within two business […]

Pharmacy Integration

Medication selection: Tools to minimize patient cost and make prescribing easier.   Medications are one of the highest costs of health care for both patients and payers, and represent a significant cost-savings opportunity in value-based arrangements. In 2016, over $329 billion was directly spent by patients and payers in the U.S. on outpatient medications.1 Drug […]