- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
UnitedHealth Pledges to Reimburse Value-Based Care
In a push for value-based care, UnitedHealth is pledging to double its provider payment in relation to quality and cost efficiency by up to $50 billion within the next 5 years.
In a push for value-based care, UnitedHealth is pledging to double its provider payment in relation to quality and cost efficiency by up to $50 billion within the next 5 years. Sam Ho, UnitedHealth's chief clinical officer, said this initiative was a large step for the organization. However, it is seen as a necessary step in moving forward for healthcare reform. Fierce Health Payer reports:
Putting its money where its mouth is, UnitedHealth is promising to more than double its provider payments--to $50 billion--tied to quality and cost efficiency measures within the next five years, the company announced Wednesday.
UnitedHealth currently spends $20 billion on such accountable care provider contracts, which already have slowed the increase of medical costs and dropped emergency room visits by 17 percent.
With this decision, the country's largest health insurer will likely be accelerating efforts among insurers to move away from fee-for-service payments toward a value-based model, particularly because of its size and existing accountable care contracts, Forbes reported.
Read the full story here: http://bit.ly/1dzPaon
AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
Listen
Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections
September 17th 2025Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.
Read More
Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
Listen
