In 2024, your practice can earn quarterly and annual Quality Care bonuses when you address open care opportunities for your UnitedHealthcare® Medicare Advantage members.
A new 4th quarter earning opportunity is available. See the bolded measure in the following table.
2024 HEDIS® Star Rating ID | Quality Care measure | Payment eligibility* | Eligible payment per Quality Care measure closure |
---|---|---|---|
C08 | Osteoporosis Management in Women Who Had a Fracture (OMW) | Quarterly | $50 |
C11 | Controlling High Blood Pressure (CBP) | Annual | $10 |
C14 | Transitions of Care TRCMRP – Medication Reconciliation Post-Discharge | Quarterly | $25 |
C16 | Statin Therapy for Patients With Cardiovascular Disease (SPC) | Quarterly | $20 |
DMC22 | Kidney Health Evaluation for Patients with Diabetes (KED) | Quarterly | $20 |
D12 | Statin Use in Persons with Diabetes (SUPD) | Quarterly | $20 |
N/A | Quarter 1 and 2 High Priority Member Annual Care Visit (High Priority ACV) between Jan. 1–April 30 | Quarterly | $200 |
N/A | Quarter 4 High Priority Member Annual Care Visit (High Priority ACV) between Oct. 1–Dec. 31 |
Quarterly | $150 |
N/A | Annual Care Visit (ACV) | Quarterly | $25 |
N/A | Extended Day Prescription – MAD | Quarterly | $25 |
N/A | Extended Day Prescription – MAH | Quarterly | $25 |
N/A | Extended Day Prescription – MAC | Quarterly | $25 |
*We’ll review claims and data submissions for the previous quarter(s) and make additional payments, if applicable.