PCAA Recognized for Quality Care
Primary Care Associates of Appleton, LTD was recently recognized with the 2015 UnitedHealthcare PATH Excellence in Patient Service Award for its commitment to improving health outcomes for people enrolled in UnitedHealthcare’s Medicare Advantage plans. This is the third consecutive year PCAA has been given this award.
PCAA is among more than 1,900 care providers nationwide recognized for
achieving performance metrics in the UnitedHealthcare PATH Program and successfully addressing care opportunities when treating UnitedHealthcare’s Medicare Advantage members.
UnitedHealthcare created the PATH program to help people enrolled in its Medicare Advantage plans be as healthy as possible by encouraging greater use of preventive health care services and proactive monitoring of chronic conditions.
The program annually rewards physicians who meet certain performance-based criteria, including achieving or exceeding targets established by the Centers for Medicare & Medicaid Services (CMS) for specific Healthcare Effectiveness Data and Information Set (HEDIS) measures. Health plans and CMS use HEDIS as a tool to measure performance on important dimensions of health care and service.
Examples of the quality measures used to evaluate care providers’ performance in the 2015 PATH program include:
• the percentages of eligible UnitedHealthcare Medicare Advantage members who received a breast cancer screening or colorectal cancer screening;
• the percentage of members with diabetes who received an eye exam; and,
• the percentage of members who received advice from their doctor to maintain or enhance their level of physical activity.
By achieving the PATH program’s performance metrics, Primary Care Associates of Appleton, LTD also proactively addressed care opportunities for UnitedHealthcare’s Medicare Advantage members. A care opportunity exists when an individual hasn’t received a health care service or medication recommended based on his or her age or health status. In 2015, care providers nationwide participating in the PATH program addressed nearly 1.8 million care opportunities for UnitedHealthcare’s Medicare Advantage members.
“Our team works very hard to provide quality care to all of our patients, with the goal of helping them achieve optimal health. It’s gratifying to be recognized for our efforts,” said Yvonne Robbers, RN Quality Coordinator at Primary Care Associates of Appleton, LTD. “We appreciate UnitedHealthcare’s support and look forward to continuing to work together to help improve their Medicare Advantage members’ health and well-being.”
“We are grateful for Primary Care Associates of Appleton, LTD’s efforts to ensure our Medicare Advantage members receive the preventive health care services they need,” said Efrem Castillo, M.D., chief medical officer of UnitedHealthcare Medicare & Retirement. “These awards are one of the ways we are supporting the transition to a value-based health care system that rewards physicians for the quality of care they deliver to the people we serve.”
Primary Care Associates of Appleton, Ltd., is a multi-specialty medical practice, specializing in Family and Internal Medicine. The facility houses 25 providers, a vast array of radiology and imaging services, as well as a comprehensive laboratory. The physicians have a wide range of clinical interests and they, along with their staff, understand the importance of getting to know their patients personally, their medical history, their family and all of the influences that impact a person’s individual health. For more information on the Primary Care Associates of Appleton, its providers and services, please visit www.primarycareofappleton.com or call (920) 996-1000