In a first phase that began July 1, United Healthcare (UHC) began collecting data electronically from physician practices. Specifically, the insurer said it is targeting hemoglobin A1c results for Medicare Advantage patients.
Additional phases of data collection will be considered to support the Medicare’s Star rating program and possibly to meet other reporting requirements, such as HEDIS. No other phases have been identified at this point.
However, UHC advised the ISMA that UHC staff will communicate with all network providers before initiating phases of the data collection protocol. If you are a participating physician and have not received information about this step UHC is taking, or have questions, contact the leadership in your practice. Then, if necessary, contact your UHC Network Manager or Provider Advocate.
UnitedHealthcare’s Clinical Data Exchange and Integration team can work with practices to accept data in a variety of electronic formats, depending on a practice's individual information technology capabilities. Generally, tracking involves file transfer and not faxing or calling UHC with results.
General notification was provided in UHC’s network bulletin. Additional communication is being delivered to “priority” physician groups affected by the first phase. These “priority” physicians are part of very large practice groups, and data transmission discussions between those groups and UHC are already occurring. If you are a physician within a large group, you may not have received any communication from UHC because it is occurring at a physician leadership or administrative level.
The ISMA asked specific questions and received responses from UHC Indiana and Kentucky Market Medical Director Julie Daftari, MD. To see those responses, go here.