1. Health Care at the Crossroads: Trends, Opportunities and Challenges Ahead April 26, 2013 Dr. Richard Shonk Market Medical Director UnitedHealthcare

11. Our Community at a Cross Road

12. Greater Cincinnati Tri-State Region: Setting the Standard for Health Care in America The ONLY community in America with all these programs: 1 of 7 Comprehensive Primary Care Initiative communities, 1 of 16 Aligning Forces for Quality (AF4Q) communities, 1 of 17 Beacon Communities, 1 of 62 Health IT Regional Extension Centers, Among first seven communities selected for CMS Care Transitions >80% of physicians and hospitals exchanging data through HealthBridge 500 Physicians, 20+ Hospitals on YourHealthMatters.org 109 Patient-Centered Medical Homes 12

13. Payment at a Cross Road We’re being watched… By the Feds… By the State… By the Commercial Health Plans By National Companies …But is it scale-able?

14. Quality at a Cross Road So many metrics… So little time… – YourHealthMatters – CPCi Measures – ACO Metrics – HEDIS – CG-CAHPS – Health Plan Report Cards – Internal System Scorecards Triple Aim Sounds Good!... But sometimes it is hard not to feel like the target.

15. When you come to a fork in the road… Control your data Focus on what matters Speak the same language Insist on transparent methodology Timing can be important Neutral Third Parties are important Continuously Improve

16. Thank You!