As a result of the work, Capstone physicians have reduced hospitalizations among UnitedHealthcare Medicaid patients by 28 percent.
Capstone Pediatrics is a Medicaid Accountable Care Organization, partnering with UnitedHealthcare to more effectively manage population health, lower the costs of care and improve members’ care experience. In this program, practices collaborate with UnitedHealthcare to achieve specific quality-improvement goals, including lowering unnecessary emergency room visits and inpatient hospital stays for patients, and increasing convenient access to care.
In return for meeting the population’s health goals and lowering total health care costs, the practice receives a share of the savings. UnitedHealthcare’s local clinical leaders and transformation team support Capstone Pediatric’s efforts with…