UnitedHealthcare to expand bundled payments to Medicare Advantage beneficiaries, including total joints and spine: 5 things to know

Written by Laura Dyrda | April 10, 2019 | Print  | Email

UnitedHealthcare will expand BPCI Bundled Payments to include Medicare Advantage beneficiaries in 2020.

Five things to know:

1. The insurer plans to launch the UnitedHealthcare Care Bundles program on Jan. 1, 2020, which will offer bundled payments for Medicare Advantage plans in more than 30 states.

2. Medicare Advantage beneficiaries will be able to participate in bundled payments for eight procedures, including hip replacement, knee replacement and non-cervical spinal fusions.

3. The bundled payments offer a set price for treatment and follow-up care. "Our extensive data and technology experience positions UnitedHealthcare to collaborate with care providers to support better health and better care at a lower cost," said Jeff Meyerhofer, president of bundled payment solutions for UnitedHealthcare Medicare & Retirement.

4. Care providers that participate in the bundles will receive scalable services and support, including care management solutions to improve the patient experience. The materials clinicians receive include preoperative education, patient engagement tools, performance analytics, consulting and payment administration services.

5. UnitedHealthcare aims to have $75 billion in reimbursement tied to value-based care annually by the end of 2020; the payer currently has around 3 million people enrolled in Medicare Advantage plans that have providers participating in value-based models.

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