Primary Care Report Chartpack from the ... - UnitedHealth Group

Primary Care Report Chartpack from the ... - UnitedHealth Group

Advancing Primary Care Delivery: Practical, Proven, and Scalable Approaches Chartpack UnitedHealth Center for Health Reform & Modernization September 2014 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.

Advancing Primary Care Delivery: Practical, Proven, and Scalable Approaches Primary care is the foundation of the U.S. health care system, central to improving health and to effectively treating patients. The United States faces a challenge in terms of increasing overall primary care capacity and aligning the supply of primary care resources with demand in underserved communities. Building blocks for increasing capacity include leveraging a diverse clinical workforce, practicing in care teams, and utilizing health information technology (HIT). o Care delivery models that leverage these building blocks have improved quality

and contained costs, by applying value-based payments. o Additional pathways to expand and target capacity include leveraging retail health clinics, reaching patients where they live, utilizing group visits, and better targeting super-utilizers and other complex patients. The full report can be accessed at unitedhealthgroup.com/modernization UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.

2 Health Care Markets with a Higher Concentration of Primary Care Physicians Have Fewer Avoidable Hospital Admissions UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.

3 Health Care Markets with a Higher Concentration of Primary Care Physicians Have Fewer Avoidable Hospital Emergency Department Visits UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 4

Health Care Markets with a Higher Concentration of Primary Care Physicians Have Lower Use of High-Technology Diagnostic Imaging, Which is More Costly and Often No More Effective Than Traditional Imaging UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 5

The Volume of Primary Care Physician Visits in the United States Declined and Specialist Visits Increased Between 2012 and 2013 UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 6

Among New Medical School Graduates, Only One in Six is Choosing to Practice Primary Care UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 7 Some Areas of the Country, Including the West and the South, Face Greater

Challenges than Others in Ensuring Primary Care Capacity in the Coming Years UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 8 The Percentage of Nurse Practitioners and Physician Assistants Who Practice in Rural Areas is Greater Than the Percentage of Physicians

UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 9 Primary Care Physicians are More Concentrated in Higher-Income Areas

UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 10 Primary Care Physicians are More Concentrated in Areas with Lower Rates of Uninsured UnitedHealth Center for

Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 11 Areas with Lower Concentrations of Primary Care Physicians Have Higher Concentrations of Non-Physician Primary Care Providers UnitedHealth Center for Health Reform & Modernization

2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 12 WESTMEDs Commercial ACO, in Partnership with UnitedHealthcare and Optum, Achieved Reductions in Hospital Utilization and Costs UnitedHealth Center for Health Reform & Modernization

2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 13 Monarchs Medicare Pioneer ACO, in Partnership with Optum, Achieved Cost Reductions for its Patients while Spending Increased for the Reference Cohort UnitedHealth Center for Health Reform & Modernization

2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 14 The Number of Health Care Retail Clinic Visits has Increased Dramatically in Recent Years UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.

15 Use of Group Visits by Family Physicians Doubled Between 2005 and 2010 UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 16

Each Year, Super-Utilizers the Top 5% of the Population in Terms of Per Capita Spending Account for 50% of All Health Care Costs UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 17

Among Super-Utilizers, 38% Will Remain Super-Utilizers the Following Year UnitedHealth Center for Health Reform & Modernization 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 18

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