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 measures in the following tables.
| 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.
In addition to the ACV opportunities listed above, your practice can earn additional bonuses for completing any of the following quality care measure opportunities for members flagged as Quarter 4 – High Priority. If earned, we’ll pay these bonuses in addition to the Quality Care bonus.
| 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) | Paid with final Q4 payment | $100.00 |
| C11 | Controlling High Blood Pressure (CBP) | ||
| C14 | Transitions of Care TRCMRP – Medication Reconciliation Post-Discharge | ||
| C16 | Statin Therapy for Patients With Cardiovascular Disease (SPC) | ||
| DMC22 | Kidney Health Evaluation for Patients With Diabetes (KED) | ||
| D12 | Statin Use in Persons With Diabetes (SUPD) | ||
| C01 | Breast Cancer Screening (BCS-E) | ||
| C10 | Glycemic Status Assessment for Patients With Diabetes (GSD) | ||
| C02 | Colorectal Cancer Screening (COL-E) | ||
| C09 | Eye Exam for Patients With Diabetes (EED) |