Greeley, CO - 09/21/2016
Banner Network Colorado (BNC) was recently recognized with the 2015 UnitedHealthcare PATH Excellence in Patient Service Award for the provider network’s commitment to improving health outcomes for people enrolled in UnitedHealthcare’s Medicare Advantage plans.
BNC earned the award by 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, BNC 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 diligently 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 Kynda Wolfrum, RN, managed care operations coordinator for BNC. “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 Banner Network Colorado’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.”
Serving one in five Medicare beneficiaries, UnitedHealthcare is the largest business dedicated to the health and well-being needs of seniors and other Medicare beneficiaries.
About Banner Network Colorado
Banner Network Colorado (BNC) is a provider network serving health care policyholders in Larimer and Weld counties in northern Colorado’s Front Range. The network is composed of health care providers such as physicians, hospitals and related medical providers who are linked together to improve the quality of care for patients. These providers make a commitment to work closely together to coordinate all aspects of a patient’s care, to enhance the patient experience and to improve outcomes. More than 300 providers are currently participating in Banner Network Colorado.
About Banner Health
Headquartered in Phoenix, Banner Health is one of the largest, nonprofit health care systems in the country. The system manages 29 acute-care hospitals, provider networks, Banner Medical Group, long-term care centers, outpatient surgery centers and an array of other services including family clinics, home care and hospice services, and a nursing registry. Banner Health is in seven states: Alaska, Arizona, California, Colorado, Nebraska, Nevada and Wyoming.