PCP Profiles support care coordination and quality

To best support care coordination and quality improvement, UnitedHealthcare Community Plan of Wisconsin annually shares utilization and quality management information with network primary care providers (PCPs).

We send PCP practices profile packets to share member utilization trends and potential improvement opportunities. The packets include:

Quality Management Profile: Highlight performance data for key quality measures, including provider rates, health plan averages, benchmarks, and variance.
Utilization Management Profile: Share metrics on discharges, hospital, days, ER visits, encounters and prescription drug use.

Each packet also includes definitions to help PCPs understand member utilization and find improvement opportunities.