United Healthcare (UHC) is a leading health insurance company in the United States that offers a wide range of health insurance products and services to individuals, employers, and government programs such as Medicare and Medicaid. The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services that administers Medicare, Medicaid, and other federal healthcare programs. UHC works closely with CMS in several ways to help improve the quality and accessibility of healthcare services for millions of Americans. In this article, we will discuss three ways UHC works with CMS.Early Finder
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The 3 Ways United Healthcare Works with CMS
1. Providing Medicare Advantage Plans
One of the primary ways UHC works with CMS is by providing Medicare Advantage plans to eligible beneficiaries. Medicare Advantage is a type of health insurance plan offered by private insurance companies like UHC that provide all of the benefits of Original Medicare (Parts A and B) and often includes additional benefits such as prescription drug coverage, dental, vision, and hearing benefits. UHC offers a wide range of Medicare Advantage plans, including HMO, PPO, and Special Needs Plans (SNPs), to help meet the unique healthcare needs of different beneficiaries. UHC’s Medicare Advantage plans are designed to provide affordable, high-quality healthcare services and support to help beneficiaries stay healthy and live well.
As a Medicare Advantage plan provider, UHC works closely with CMS to ensure that its plans meet or exceed the agency’s quality standards. CMS sets rigorous standards for Medicare Advantage plans, including requirements for network adequacy, quality of care, customer service, and financial stability. UHC is committed to working closely with CMS to meet these standards and provide high-quality healthcare services to its Medicare Advantage members.
2 Participating in Value-Based Care Initiatives
Another way UHC works with CMS is by participating in value-based care initiatives. Value-based care is a healthcare delivery model that emphasizes improving health outcomes and reducing healthcare costs by rewarding providers for delivering high-quality, efficient care. UHC is a leader in value-based care and has implemented several innovative programs to help improve the quality and efficiency of healthcare services for its members.
One such program is the UnitedHealthcare Medicare Shared Savings Program Accountable Care Organization (ACO), which is a value-based care model that aims to improve the coordination and quality of care for Medicare beneficiaries. Under this program, UHC partners with healthcare providers to deliver coordinated, patient-centered care and shares in any cost savings that result from improved outcomes and reduced healthcare spending.
UHC also participates in CMS’s Comprehensive Primary Care Plus (CPC+) initiative, which is a multi-payer program designed to strengthen primary care and improve health outcomes for Medicare beneficiaries. Through this initiative, UHC works with primary care practices to provide comprehensive, coordinated care to patients and improve their health outcomes.
3. Supporting Medicaid Managed Care Programs
Finally, UHC works with CMS by supporting Medicaid-managed care programs. Medicaid is a joint federal-state program that provides healthcare coverage to low-income individuals and families, including children, pregnant women, and people with disabilities. Medicaid managed care is a program that provides Medicaid benefits through private insurance companies like UHC. Managed care plans work with healthcare providers to deliver coordinated, high-quality care to Medicaid beneficiaries.3 Ways United Healthcare Works with CMS
UHC is one of the largest Medicaid managed care providers in the United States and offers a wide range of Medicaid plans to help meet the unique healthcare needs of different populations. UHC’s Medicaid plans provide comprehensive healthcare coverage, including medical, dental, vision, and behavioral health services, to help ensure that beneficiaries receive the care they need to stay healthy.
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As a Medicaid-managed care provider, UHC works closely with CMS to ensure that its plans meet or exceed the agency’s quality standards. CMS sets rigorous standards for Medicaid-managed care plans, including requirements for network adequacy, quality of care, customer service, and financial stability. UHC is committed to working closely with CMS to meet these standards and provide high-quality healthcare services to its Medicaid members.
In addition to providing Medicaid-managed care plans, UHC also partners with states and CMS to develop innovative programs and services that address the unique healthcare needs of Medicaid beneficiaries. For example, UHC has implemented programs that provide care coordination services to pregnant women, support for individuals with mental health and substance abuse disorders, and resources for individuals with chronic conditions such as diabetes and heart disease.
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UHC works closely with CMS in several ways to help improve the quality and accessibility of healthcare services for millions of Americans. Through its Medicare Advantage plans, value-based care initiatives and Medicaid managed care programs, UHC is committed to providing high-quality, affordable healthcare services to its members. By partnering with CMS, UHC is able to leverage its expertise and resources to deliver innovative healthcare solutions that meet the unique needs of different populations. Together, UHC and CMS are working to transform the healthcare system and improve health outcomes for all Americans.