UnitedHealthcare offers a variety of reports and quality programs to help care providers provide operational efficiency and member support. For more information on what is available, click the [+] below.
Access a variety of reports including capitation, claim, quality, profile / provider rosters with the UnitedHealthcare Reports tool.
UnitedHealthcare West providers for SignatureValue and Medicare Advantage HMO plans have access to a variety of reports families including Capitation, Settlement, Shared Risk, Claims, Eligibility and Patient Management reports.
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey and the Health Outcomes Survey (HOS) help provide feedback on your patient’s experience with you, the provider and us. UnitedHealthcare’s goal is to continue to help improve the overall experience for your patients and our members.
Collaborate. Educate. Evaluate. These core values define the PATH program’s tools and resources, which were designed to help patients live healthier lives. Together, we can work to help make this goal a reality.
UnitedHealthcare is committed to providing physicians with actionable, patient-specific information that will help them deliver the best possible clinical care while empowering them to meet personal and professional goals through our Physician Performance-Based Compensation Program (PPBC).
This program includes the Patient Care Opportunity Reports (PCOR), the Patient-Centered Medical Home Program (PCMH), the Primary Care Physician Incentive Program (PCPi) and Quality Provider Incentive Program (QPIP).
Learn more about the Physician Performance-Based Compensation Program.
What is the UnitedHealthcare Quality-Based Physician Incentive Program?
The UnitedHealthcare Quality-Based Physician Incentive Program (QPIP) was an incentive program that awarded physicians for performing clinically appropriate procedures at designated facilities that met certain quality metrics.
When did QPIP sunset?
March 23, 2023
When did UnitedHealthcare provide the final QPIP payment?
Sept. 30, 2023
Will reporting still be available?
Providers can continue to access reporting in the UnitedHealthcare Provider Portal located on UHCprovider.com/portal > Sign in > Reports and Quality Programs > Physician Performance Based Compensation > Go to Reports > Sign In > Open My Reports.
The Centers for Medicare & Medicaid Services (CMS) has developed Medicare Advantage plan quality measurements called Star Ratings. CMS Star Ratings are used to rate qualify plan performance for:
UnitedHealth Premium® evaluates physicians for effective quality care, efficient quality care and total cost of care. The Premium Care designation is displayed in commercial provider directories and may be used by members to help make more informed choices for their medical care. Physicians may also use their evaluation details to support their efforts to provide quality care to their patients.