CONNECTED CARE. - ?· offering online tools that make it easier to review your medical history and develop…

Download CONNECTED CARE. - ?· offering online tools that make it easier to review your medical history and develop…

Post on 05-Jun-2018

212 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

<ul><li><p>UnitedHealthcares</p><p>Alliance</p><p>CONNECTED CARE.</p></li><li><p>1</p><p>WHEN DOCTORS CONNECT, EVERYONE BENEFITS.</p></li><li><p>2</p><p>Connected Care </p><p>The Alliance plan includes an impressive network of </p><p>more than 23,000 physicians and specialists, and </p><p>more than 127 hospitals. And since these provider </p><p>medical groups have been recognized for offering </p><p>quality care, members will feel good about choosing </p><p>a primary care physician from one of the participating </p><p>medical groups.</p><p>The primary care physician will be the members </p><p>first source for care and coordinate additional </p><p>care they may need. </p><p>We also make it easy for members to access a doctor or </p><p>specialist who will fit their unique health needs. </p><p>Patient Care Continuum </p><p>The Alliance plan was built on the fundamentals of </p><p>patient-centered care, and enhancing the patient-</p><p>doctor relationship to promote health care quality at </p><p>lower costs. The patient care continuum represents </p><p>comprehensive coordinated health services designed </p><p>to improve the quality and value of care. Innovative </p><p>information systems help provide a singular view </p><p>of any patients care, helping providers effectively </p><p>coordinate and link resources to avoid duplicating </p><p>tests or services, facilitating seamless movement </p><p>between care settings.</p><p>The focus is on a patients overall health, from </p><p>preventive care to complex disease management.</p><p>UNITEDHEALTHCARES ALLIANCE* is an innovative health plan offering select physicians who collaborate on their patients treatment plans. As a distinct subnetwork of the UnitedHealthcares full HMO network, the new Alliance plan provides access to a local network of physicians and specialists. These physicians coordinate care and work with their patients to manage their health and health care costs.</p><p>DISTINCT ALLIANCE NETWORK With the Alliance plan, participating medical groups have been selected based in part on their technological sophistication and consistent level of quality performance. UnitedHealthcare has relied on the State of Californias Office of the Patient Advocate (OPA) quality report card for information on the participating medical groups. The quality report cards are published annually on the states website at www.opa.ca.gov. Members have access to this distinct network of quality-rated participating medical groups that are connected to their patients care. UnitedHealthcares Alliance plan, offering quality health care at a lower cost, is a smart choice for any business. When employees are healthier, productivity goes up, costs go down and the workforce is in better shape to succeed.</p><p>WHEN DOCTORS CONNECT, EVERYONE BENEFITS. HOSPI</p><p>TAL</p><p>PRIMARY CARE</p><p>DIAGNO</p><p>STIC</p><p>SPECIALIST</p><p>PREVENTIVE CAREPATIENT</p><p>* Formal HMO product name: Alliance = UnitedHealthcare SignatureValue Alliance</p></li><li><p>3</p><p>HEALTHIER EMPLOYEES. LOWER HEALTH CARE COSTS. ALL WORKING TOGETHER FOR YOU.</p></li><li><p>4</p><p>Combining our connected care with innovative online tools</p><p>The Alliance participating medical groups are </p><p>known for providing quality, connected care and </p><p>offering online tools that make it easier to review </p><p>your medical history and develop the right treatment </p><p>plan. The outcome: quality health results. </p><p>Preventive care is covered 100 percent</p><p>Preventive care services include routine wellness </p><p>exams, well-child exams, physicals, mammograms, </p><p>flu shots and other immunizations. As long as </p><p>Alliance members see network doctors, they dont </p><p>even have to worry about copayments.</p><p>Integrating pharmacy solutions to provide better patient outcomes</p><p>Our pharmacy coverage focuses on clinical quality </p><p>and improving patient outcomes while promoting </p><p>the most appropriate use of medication. Our </p><p>prescription drug list and pharmacy programs </p><p>are built on evidence-based care and integrated </p><p>research data to keep treatment costs in check.</p><p>Alliance plan members can also receive </p><p>personalized communications to help them make </p><p>more-informed decisions. For additional savings, </p><p>outpatient prescription drugs can be obtained </p><p>through a mail order program or by accessing one </p><p>of many retail pharmacy locations.</p><p>HEALTHIER EMPLOYEES. LOWER HEALTH CARE COSTS. ALL WORKING TOGETHER FOR YOU.</p><p>THE ALLIANCE NETWORK COMPRISES THE FOLLOWING MEDICAL GROUPS2:</p><p> Brown &amp; Toland Physicians</p><p> DCHS Medical Foundation</p><p> EPIC Management, LP</p><p> HealthCare Partners Medical Group</p><p> Heritage Provider Network</p><p> Hill Physicians</p><p> Monarch HealthCare Medical Group</p><p> PrimeCare Medical Network, Inc.</p><p> Sant Community Physicians</p><p> Scripps Health</p><p> Sutter Health</p><p>1Alliance is available for employers with 51 or more employees in Alameda, Contra Costa, Fresno, Kern, Kings, Los Angeles, Madera, Marin, Merced, Orange, Placer, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Ventura, and Yolo counties.</p><p> Alliance is available for employers with 1-50 employees in Fresno, Kern, Kings, Los Angeles, Madera, Orange, Riverside, San Bernardino, San Diego, and Ventura counties.</p><p>2For a full listing of participating medical groups near you, please refer to the Alliance Provider Directory or visit myuhc.com</p><p>Inyo</p><p>Kern</p><p>KingsMonterey</p><p>MonoTuolumne</p><p>Alpine</p><p>Mariposa</p><p>Solano</p><p>Yuba</p><p>Lassen</p><p>Tehama</p><p>Shasta</p><p>Plumas</p><p>Sacramento</p><p>San Franciso</p><p>San Mateo</p><p>Santa Cruz</p><p>Contra Costa</p><p>Alameda</p><p>SanBenito</p><p>Stanislaus</p><p>Calaveras</p><p>Amador</p><p>El Dorado</p><p>Placer</p><p>Nevada</p><p>Sierra</p><p>Sutter</p><p>Trinity</p><p>BulleGlenn</p><p>Colusa</p><p>Mendocino</p><p>Lake</p><p>Yolo</p><p>NapaSonoma</p><p>Marin San Joaquin</p><p>Santa Clara</p><p>Pacific Ocean Los Angeles</p><p>MaderaMerced</p><p>Orange Riverside</p><p>Imperial</p><p>San Bernardino</p><p>San Diego</p><p>San Luis Obispo</p><p>Santa Barbara</p><p>Tulare</p><p>Ventura</p><p>Fresno</p><p>Alliance Service Area1</p></li><li><p>5</p><p>UNITEDHEALTHCARE. A COMPANY CONNECTED TO WELLNESS.</p></li><li><p>6</p><p>At UnitedHealthcare, we believe that a well-rounded health care coverage plan should have the programs, resources and tools that people need to live healthier lives. Thats why Alliance comes with health and wellness features that support members as well as the physicians who care for them. </p><p>Better information to help members make better decisions. Alliance includes a benefit program that sends members messages on how to improve their own health and save money. </p><p>They will also receive a personalized health report based on their claims history. This report </p><p>provides information and best practice recommendations based on the members specific </p><p>health conditions.</p><p>Helping those with chronic diseases experience a better quality of life. Our disease management programs can help members manage chronic diseases, such as asthma and </p><p>diabetes. We are committed to helping those living with an illness experience the best quality </p><p>of life possible.</p><p>Adding more value with our wellness programs. Health and wellness programs on nutrition, </p><p>fitness, smoking cessation, stress management and more are offered at no additional cost, so </p><p>members may be healthy and more productive at work and less likely to be absent because of </p><p>illness or injury.</p><p>UNITEDHEALTHCARE. A COMPANY CONNECTED TO WELLNESS.</p></li><li><p>7</p><p>Group Name DEC #ALAMEDA COUNTY</p><p>Alta Bates Medical Group 028466</p><p>Hill Physicians East Bay 028669</p><p>Palo Alto Medical Foundation 012140</p><p>Sutter East Bay Medical Foundation 020637</p><p>Sutter East Bay Medical Foundation Diablo Division 024058</p><p>CONTRA COSTA COUNTYHill Physicians East Bay 028669</p><p>Sutter East Bay Medical Foundation Diablo Division 024058</p><p>FRESNO COUNTYSant Community Physicians 016405</p><p>Sant Community Physicians 016406</p><p>KERN COUNTYBakersfield Family Medical Group 004209</p><p>Heritage Physician Medical Group 007665</p><p>KINGS COUNTYSant Community Physicians 016405</p><p>Sant Community Physicians 016406</p><p>LOS ANGELES COUNTYChaffey Medical Group 027892</p><p>HealthCare Partners IPA Arcadia 028404</p><p>HealthCare Partners IPA East Los Angeles 028399</p><p>HealthCare Partners IPA East West 028411</p><p>HealthCare Partners IPA Glendale 028401</p><p>HealthCare Partners IPA Little Company of Mary 028436</p><p>HealthCare Partners IPA Long Beach 028454</p><p>HealthCare Partners IPA Los Angeles County 028393</p><p>HealthCare Partners IPA Magan Medical Clinic 028445</p><p>HealthCare Partners IPA Northridge Medical Group 028416</p><p>HealthCare Partners IPA Pasadena 028410</p><p>HealthCare Partners Medical Group Santa Anita 028764</p><p>Physician Associates HealthCare Partners Medical Group San Dimas 028419</p><p>Physician Associates HealthCare Partners Medical Group San Gabriel 028422</p><p>Regal Medical Group Burbank-Glendale 017556</p><p>Regal Medical Group Central Valley 012410</p><p>Regal Medical Group Covina 017778</p><p>Group Name DEC #Regal Medical Group Downey 017547</p><p>Regal Medical Group East San Gabriel Valley 017555</p><p>Regal Medical Group Glendale Physicians Association 023187</p><p>Regal Medical Group Long Beach 017552</p><p>Regal Medical Group Los Angeles 014163</p><p>Regal Medical Group San Gabriel Valley 014888</p><p>Regal Medical Group St. Francis 017551</p><p>Regal Medical Group West Valley 017554</p><p>Regal Medical Group Whittier 017550</p><p>Sierra Clinic 023023</p><p>Sierra IPA 023025</p><p>MADERA COUNTYSant Community Physicians 016405</p><p>Sant Community Physicians 016406</p><p>MARIN COUNTYBrown &amp; Toland Medical Group 026920</p><p>MERCED COUNTYSutter Gould Medical Foundation/Gould Medical Group 021995</p><p>ORANGE COUNTYADOC Fountain Valley 025400</p><p>ADOC Los Alamitos 025401</p><p>HealthCare Partners IPA Talbert 028461</p><p>HealthCare Partners Medical Group Talbert Orange County 028427</p><p>Monarch HealthCare 021963</p><p>Regal Medical Group Caduceus 019793</p><p>Regal Medical Group Orange County 018831</p><p>PLACER COUNTYSutter Independent Physicians 005204</p><p>Sutter Medical Foundation/Sutter Medical Group 005200</p><p>RIVERSIDE COUNTYBeaver Medical Group 027825</p><p>Desert Oasis Healthcare 021796</p><p>PrimeCare of Citrus Valley 021243</p><p>PrimeCare of Corona 005232</p><p>PrimeCare of Hemet Valley 009023</p><p>PrimeCare of Moreno Valley 003111</p><p>PrimeCare of Riverside 008331</p><p>ALLIANCE PARTICIPATING MEDICAL GROUPSThe Alliance plan is a distinct subnetwork of the UnitedHealthcares full HMO network of participating medical groups.</p></li><li><p>8</p><p>Group Name DEC #PrimeCare of Sun City 004140</p><p>PrimeCare of Temecula 006657</p><p>RedlandsYucaipa Medical Group 027828</p><p>Regal Medical Group Riverside 021553</p><p>Regal Medical Group Temecula 020950</p><p>Tri-Valley Medical Group 026432</p><p>Valley Physicians Network 026405</p><p>SACRAMENTO COUNTYSutter Independent Physicians 005204</p><p>Sutter Medical Foundation/Sutter Medical Group 005200</p><p>SAN BERNARDINO COUNTYAlliance Desert Physicians 024628</p><p>Beaver Medical Group 027825</p><p>Chaffey Medical Group 027892</p><p>Heritage Victor Valley 013471</p><p>Pinnacle Medical Group 027850</p><p>PrimeCare of Inland Valley 006045</p><p>PrimeCare of Redlands 001026</p><p>PrimeCare of San Bernardino 019383</p><p>Redlands-Yucaipa Medical Group 027828</p><p>Regal Medical Group APSI 020670</p><p>Regal Medical Group Chino Hills 017553</p><p>Regal Medical Group San Bernardino 020668</p><p>SAN DIEGO COUNTYMercy Physicians Medical Group 026282</p><p>Primary Care Associates Medical Group 026443</p><p>San Diego Physicians Medical Group 005375</p><p>Scripps Clinic 003682</p><p>Scripps Coastal Medical Center 023659</p><p>SAN FRANCISCO COUNTYBrown &amp; Toland Medical Group 026920</p><p>SAN JOAQUIN COUNTYSutter Gould Medical Foundation/Gould Medical Group 020557</p><p>Group Name DEC #Sutter Gould Medical Foundation/Gould Medical Group 014346</p><p>Sutter Gould Medical Foundation/Gould Medical Group 015103</p><p>SAN MATEO COUNTYMills Peninsula Medical Group 025525</p><p>Palo Alto Medical Foundation 024896</p><p>SANTA CLARA COUNTYPalo Alto Medical Foundation 012140</p><p>Palo Alto Medical Foundation 023856</p><p>DCHS Medical Foundation 026657</p><p>SANTA CRUZ COUNTYPalo Alto Medical Foundation 023859</p><p>SOLANO COUNTYSutter Medical Foundation/Sutter Medical Group 024365</p><p>SONOMA COUNTYSutter Pacific Medical Foundation/Sutter Medical Group of The Redwoods 024624</p><p>STANISLAUS COUNTYSutter Gould Medical Foundation/Central Valley Medical Group 012541</p><p>Sutter Gould Medical Foundation/Gould Medical Group 005254</p><p>Sutter Gould Medical Foundation/Gould Medical Group 009266</p><p>VENTURA COUNTYLakeside Medical Group Simi Valley 024682</p><p>Lakeside Medical Group Thousand Oaks 024678</p><p>Regal East Ventura County 021557</p><p>Regal West Ventura County 022251</p><p>YOLO COUNTYSutter Medical Foundation 009695</p><p>Alliance is available for employers with 51 or more employees in Alameda, Contra Costa, Fresno, Kern, Kings, Los Angeles, Madera, Marin, Merced, Orange, Placer, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Ventura, and Yolo counties.Alliance is available for employers with 1-50 employees in Fresno, Kern, Kings, Los Angeles, Madera, Orange, Riverside, San Bernardino, San Diego, and Ventura counties.FOR MORE INFORMATION, PLEASE CONTACT YOUR UNITEDHEALTHCARE REPRESENTATIVE.</p></li><li><p>9</p><p>NOTES</p></li><li><p>10</p><p>NOTES</p></li><li><p>This is current as of the date of publication. We update our directories periodically, but we cannot guarantee the length of participation of the physicians and other providers in our network. Please verify a doctors participation status by calling the Customer Service department or by visiting myuhc.com.</p><p>Health plan coverage provided by or through UnitedHealthcare of California. Administrative services provided by United HealthCare Services, Inc., OptumRx or OptumHealth Care Solutions, Inc. Behavioral health products are provided by U.S. Behavioral Health Plan, California (USBHPC) or United Behavioral Health (UBH).</p><p>400-4355 8/152015 United HealthCare Services, Inc.</p><p>UHCCA573325-012</p><p>CONNECTED CARE. ITS WHAT SETS ALLIANCE APART.</p></li></ul>