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).
Get rewarded when Medicare Advantage members are seen for an annual care visit.
Earn a bonus when you achieve an Average Star Rating of 3.75 or higher.
Earn a reward for improving your Average Star Rating over last year.
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.
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
|Quarterly bonus opportunity|
|Dates of ACV||Payment date|
|Jan. 1 - March 31||June 30, 2023|
|April 1 - June 30||Sept. 30, 2023|
|July 1 - Sept. 30||Dec. 31, 2023|
|Oct. 1 - Dec. 31||May 31, 2024|
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, 2023||May 31, 2024|
Tips for success
Contact your UnitedHealthcare representative if you have questions or need more information.