Guthrie Medical Group 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.
Guthrie 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, Guthrie 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 Frederick Bloom, M.D., President of Guthrie Medical Group. “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 Guthrie’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.”
Guthrie participates in the PATH program with United Healthcare as part of its collaborative commitment to value based care and the encouragement of preventative care. This work focuses on engaging patients and encouraging them to access preventative health care services. This ultimately helps to improve patient health outcomes, and ensures patients are receiving the right care for their individual health needs.
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.
Guthrie is a non-profit integrated health system located in north central Pennsylvania and Upstate New York, serving patients from an 11-county service area. Guthrie is a member of the Mayo Clinic Care Network, and is the first health system based in Pennsylvania and New York to join this network. Guthrie is comprised of a research institute, home care/hospice, hospitals in Sayre, Pa., Corning, N.Y., Towanda, Pa., and Troy, Pa., as well as a multi-specialty group practice of more than 290 physicians and 175 mid-level providers in a regional office network encompassing sub-specialty and primary care sites in 23 communities throughout Pennsylvania and New York. Guthrie offers a wide range of services and programs designed to enhance the health and well-being of those it serves.
Back row: Laura Mongeon, UnitedHealthcare; Tara Bickhart, RN, Guthrie; Kelli Morningstar, RN, Guthrie; Donna Thibault, Guthrie; Rick Bennett, Guthrie Chief Financial Officer; Wendy Bellows, UnitedHealthcare; Dr. Michael Scalzone, Executive Vice President, Guthrie Medical Group Front row: Dr. Thomas Yaeger, Chief Medical Information Officer; Dr. Fred Bloom, President, Guthrie Medical Group; Brenda Kelley, Guthrie Medical Group Business Office