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Home / News & IndustryManaged Care Insight and Analysis
Updated: June 29, 2010
UCare Says Its P4P Program Works; Has Data To Back It Up

UCare’s P4P program paid $2,445,250 to clinics and care systems across Minnesota for their performance in key quality-of-health measurements achieved in 2008.

The payments recognized and rewarded providers for superior or improved performance in measurable key areas for care delivered to members of UCare’s Minnesota Health Care Programs (MHCP).

UCare’s payments for improvements in key measurements increased 58 percent over 2007 results. This increase came primarily from clinics and care systems that have historically participated in UCare’s P4P program.

UCare paid $1,499,800 to 546 eligible care systems and independent clinics serving MHCP members, an increase of 46 percent from 2007. Total Medicare payments were $945,450, an 82 percent increase in payments from 2007.

"The increase in [P4P] payments means more of our members are receiving high quality care and screenings from our providers," said Dr. Barry Baines, UCare’s chief medical officer. "We noted a heightened interest in the program this year, which led to a healthy boost in participation and measurable results achieved by our valued providers.

Baines said UCare’s P4P differs from others as all providers, large and small, are eligible for payments.

For UCare’s state public program population, 2008 P4P payments were made based on the achievement of goals and included:

  • Well child visits for children age 3-6 years and 12-21 years
  • Colon cancer screening
  • Diabetes care
  • Mammography
  • Chlamydia screening

For UCare’s Seniors Medicare Advantage members, 2007 P4P payments were made based on the achievement of goals set for:

  • Colon cancer screening
  • Mammography
  • Diabetes care
  • LDL cholesterol screening

Address: UCare, 500 Stinson Boulevard NE, Minneapolis, MN 55413; (612) 676-6500,

  This article was taken from:
Pay-For-Performance Reporter

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