Unitedhealth Group Incorporated · NYSE:UNH
Unitedhealth — Investor Presentation (September 2014)
16 slides from Unitedhealth's investor presentation, September 2014
Slide 1: UnitedHealth Center for Health Reform & Modernization
UnitedHealth Center for Health Reform & Modernization September 2014 © 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
Slide 2: Overview
Overview Advanced Service Delivery and Why Focus on Primary Care? Payment Models Approaches to Expand Access Assessing Value and Capacity and Target Capacity Building Blocks for Bolstering Capacity Summary of Solutions Please note that all sources are available in the Report at unitedhealthgroup.com
Slide 3: Why Focus on Primary Care?
Why Focus on Primary Care? Primary care is the Accessing primary care High value of foundation of the U.S. is a major challenge for primary care health care system many individuals 55% of over 1 billion Central to effective treatment Lack of capacity and access physician office visits annually
Slide 4: Assessing Value and Capacity
Assessing Value and Capacity A higher concentration of primary Avoidable Hospital Emergency Department Visits and Primary Care Physician Supply care physicians is related to: Lower rates of mortality Avoidable hospital emergency department visits per 1,000 More effective preventive care Fewer
Slide 5: Assessing Value and Capacity
Assessing Value and Capacity Some areas of the country, including the West and the South, face greater challenges in ensuring primary care capacity in the coming years Primary Care Challenge by County, 2014 UnitedHealth Center for Health Reform & Modernization © 2014 UnitedHealth Group. Any use, cop
Slide 6: Assessing Value and Capacity
Assessing Value and Capacity Primary care physicians are more concentrated in areas with higher household incomes and lower uninsured rates, while nurse practitioners and physician assistants are more concentrated in these underserved areas Primary Care Physician Supply and Primary Care Physician Su
Slide 7: Building Blocks for Bolstering Capacity
Building Blocks for Bolstering Capacity Diverse Workforce Multi-Disciplinary Health Information Teams Technology (HIT) Over 190,000 nurse A primary care physician with Broader implementation of practitioners (NPs), as well as a panel of 2,000 patients HIT, including Electronic other clinicians
Slide 8: Advanced Service Delivery and Payment Models
Advanced Service Delivery and Payment Models Paying for value incents higher quality care instead of a greater volume of services Fee-For-Service (FFS): Value-Based Payments Encourages providers to deliver Shift away from payments based on the quantity and intensity of services a greater volume
Slide 9: Advanced Service Delivery and Payment Models
Advanced Service Delivery and Payment Models Medical homes that transform care delivery and pay for value have improved quality and reduced costs Medical Home Outcomes in Colorado, Ohio, and Rhode Island* 6 to 1 return on investment for care Improved diabetes management coordination activities 6.2%
Slide 10: Advanced Service Delivery and Payment Models
Advanced Service Delivery and Payment Models Accountable care models that pay for value have improved outcomes and reduced costs for commercially insured members Successful ACO Models Have Implemented… Cost and Quality Improvements Electronic Health Records Better performance on 10 health quality
Slide 11: Advanced Service Delivery and Payment Models
Advanced Service Delivery and Payment Models Accountable care models that pay for value have increased quality and reduced costs for Medicare beneficiaries Identify individuals for disease A Care Navigator: management programs, using risk analysis: Determine care Maintains contact with the Diabe
Slide 12: Approaches to Expand Access and Target Capacity
Approaches to Expand Access and Target Capacity Leveraging retail clinics to expand and target capacity Characteristics of Retail Clinics Quality and Cost Conveniently located Performance has been comparable to other Offer more hours than primary care primary care settings, and better than eme
Slide 13: Approaches to Expand Access and Target Capacity
Approaches to Expand Access and Target Capacity Utilizing Group Visits Outcomes Small groups of 5 to 20 patients sharing common Reduce hospital admissions and emergency conditions department visits Includes individual appointments with clinician and Increase patient satisfaction group educat
Slide 14: Approaches to Expand Access and Target Capacity
Approaches to Expand Access and Target Capacity Reaching patients where they live: Delivering primary and preventive care through home visits Conduct clinical assessment Observe home environment Adjust plan of care as needed Care management program providing annual in-home clinical visits 45 to
Slide 15: Approaches to Expand Access and Target Capacity
Approaches to Expand Access and Target Capacity Leverage data to identify Super-utilizers often have Payment models should reflect individuals with complex mental illness and face the underlying analytics and conditions and high fragmented home and encourage bundles of services expected costs commun
Slide 16: Summary of Solutions
Summary of Solutions There is no single model to successfully expand primary care capacity and improve service delivery. Multiple, complementary pathways can be tailored to local market conditions and policy environments Leveraging the Combining advanced Additional approaches to building blocks: ser
UnitedHealth Group — Investor Presentation (September 2014) on 6ix