UnitedHealth Group: Comparison of 6 Quality Metrics for Global Capitation vs. Fee-for-Service

  1. Breast cancer screening rate: global capitation 80% vs. FFS 74%
  2. Colorectal cancer screening rate: global capitation 82% vs. FFS 74%
  3. Controlled blood sugar levels: global capitation 89% vs. FFS 80%
  4. Eye exams: global capitation 84% vs. FFS 74%
  5. Functional status assessment rate: global capitation 96% vs. FFS 86%
  6. Medication review: global capitation 97% vs. FFS 92%
Notes: Global capitation pays a set amount per month per patient. The study used metrics from the National Committee for Quality Assurance’s Healthcare Effectiveness Data and Information Set (HEDIS) related to preventive care and chronic conditions.

Source: UnitedHealth Group Press Release, August 11, 2020 - https://www.unitedhealthgroup.com/newsroom/2020/uhg-study-shows-higher-quality-…

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