Medicare Advantage Primary Care Physician Incentive program

Medicare Advantage Primary Care Physician Incentive program

Medicare Advantage Primary Care Physician Incentive program

Medicare Advantage Primary Care Physician Incentive program

Medicare Advantage Primary Care Physician Incentive program

Medicare Advantage Primary Care Physician Incentive program

Medicare Advantage Primary Care Physician Incentive program

Medicare Advantage Primary Care Physician Incentive program

The Medicare Advantage Primary Care Physician Incentive (MA-PCPi) program rewards you for helping UnitedHealthcare® Medicare Advantage members get the quality care they need to live healthier lives.

When you participate in the program, you can earn quarterly and annual bonuses for addressing care opportunities for these members. The bonus opportunities are established each year. They’re based on our review of feedback from health care professionals like you, and on prioritization of Star measures by the Centers for Medicare and Medicaid Services (CMS).

2022 incentive opportunities

Annual Care Visit Bonuses

Get rewarded when Medicare Advantage members are seen for an annual care visit.

Learn more

Average Star Rating Bonus

Earn a bonus when you achieve an Average Star Rating of 3.75 or higher.

Get the details

Average Star Rating Improvement Bonus

Earn a reward for improving your Average Star Rating over last year. 

Find out more

Eligibility

We invite eligible primary care physicians to enroll in the program annually. Your invitation to participate is sent by mail and outlines the current year’s bonus opportunities and criteria.

Track your progress

You can use Practice Assist to monitor your progress toward these incentive opportunities. It’s available on the UnitedHealthcare Provider Portal in the Clinical & Pharmacy section. To access the portal, click Sign In in the upper right corner of this page, then log in with your One Healthcare ID and password. If you don’t have an ID and password, you can register for one

Payout dates

Quarterly bonus opportunity
Dates of ACV Payment date
Jan. 1 - March 31 June 30, 2022
April 1 - June 30 Sept. 30, 2022
July 1 - Sept. 30 Dec. 31, 2022
Oct. 1 - Dec. 31 May 31, 2023

To help ensure the provider is reimbursed as outlined, UnitedHealthcare will review the provider's claims and data submissions for the previous quarter(s) and make additional payments, if applicable.

Annual bonus opportunities
Dates of service Payment date
Jan. 1 – Dec. 31, 2022 May 31, 2023

Tips for success

  • Prioritize which members should come in for a visit using the Patient Care Opportunity Report (PCOR) or Practice Assist
    • PCOR shows which members are due for preventive care including screenings, annual care visits or other exams. Review the self-paced training for more details and instructions.
  • Reach out to encourage patients to come in for a visit. During their visit, schedule the patient’s next appointment at the end.
  • Ask patients to provide information about their current specialists, prescription medications and exercise level prior to their visit
  • Complete a health risk assessment (HRA) during annual wellness visits

Resources

Questions?
Contact your UnitedHealthcare representative if you have questions or need more information.