UnitedHealthcare - Rhode Island Primary Care Physicians Corporation (RIPCPC) ACO

Program Location: 
Providence, RI
Number of Practices: 
130
Payer Type: 
Commercial
Payers: 
UnitedHealthcare
Description: 

In December of 2014, Rhode Island Primary Care Physicians Corporation (RIPCPC) and UnitedHealthcare launched an accountable care organization (ACO) to improve care coordination and provide enhanced health services for more than 15,000 Rhode Island residents enrolled in UnitedHealthcare’s employer-sponsored health plans. 

This ACO will help continue shifting Rhode Island’s health care system to one that rewards quality and value rather than the volume of procedures performed. The practice’s 130 primary care physicians will manage all aspects of patients’ care, providing the right care in the right place at the right time. Physicians in the ACO will receive regular patient updates, enabling the care providers to monitor the care patients are receiving, and enhancing RIPCPC’s patient-management capabilities.

UnitedHealthcare employer-sponsored plan participants who currently receive care from RIPCPC-affiliated care providers will not have to do anything differently to receive the benefits of this new ACO that include enhanced care coordination and follow-up care.

Payment Model: 

RIPCPC’s care providers will be eligible to receive payment incentives based on evidence-based measures such as hospital readmission rates, disease management and prevention, patient safety and care delivery, as well as total cost savings and patient satisfaction.

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