1. Achieving the Triple Aim ... Together
Improved care for the
individual
Improved population
health
Lower health care
costs
Achieving the Triple Aim ... Together
SanRose Russell, MPS, MHA
Managing Director for Health Homes 1 1 1

2. Health Home Six Services
Quality
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

3. Health Plan Data Sharing with Health Home
UHC provides the Health Homes with:
A single point of contact (RN Program Manager) to work collaboratively to meet target goals of providing the six core services
Daily Census Alerts based on Prior Authorization data on inpatient admission for care coordination (7 days follow up visits)
Monthly Outcomes data that includes claims data on ER visits, PCP visits, Specialists and Pharmacy services
Up-dated demographic information on members to assist CMA’s in successfully outreaching members to improve conversion rate
Identify super utilizer members based on cost data and provide a roster to Health Homes
Monthly JOC meetings with health homes to provide data on enrollment and claims data on Care Transitions
Collaborating on the reporting of the other services rendered
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.