Who We Are
UniPhy ACO is an health care organization tasked with tackling the challenges in today’s healthcare environment. Our company touches many different healthcare businesses while helping people live healthier lives. Applying our knowledge across health care in many unique markets, providing health care management and services we have the scale and resources necessary to take on some of the most important challenges in health care today.
As a healthcare organization we are dedicated to developing and implementing a better system for health care delivery. This belief drives our daily decisions as one of the region’s leading health care organizations. Our core business, UniPhy ACO, offers a multitude of healthcare management services which have demonstrated broad capabilities and enduring value in facilitating the delivery of modern health care. Our products and services empower individuals, expand consumer choice and strengthen patient-provider relationships across the health care spectrum.
We are committed to being a part of the solution to today’s health care puzzle. UniPhy ACO range of care coordination services targeted to the unique needs of our beneficiaries and partners by integrating healthcare and related services with proven health and wellness programs.
Next Generation ACO
Next Generation Model has several tools to help ACOs improve engagement with beneficiaries; such as
- enhanced access to home visits, telehealth services, and skilled nursing facilities
- a reward payment for beneficiaries receiving the plurality of their care from ACO network providers
- a process that gives beneficiaries a decision in their alignment with the ACO
- collaboration between CMS and the ACO to clearly communicate the benefits of receiving care in an ACO.
Medicare ACOs are comprised of groups of doctors, hospitals, and other health care providers and suppliers who come together voluntarily to provide coordinated, high-quality care at lower costs to their Original Medicare patients. ACOs are patient-centered organizations where the patient and providers are true partners in care decisions. Medicare beneficiaries will have better control over their health care, and providers will have better information about their patients’ medical history and better relationships with patients’ other providers. Provider participation in ACOs is purely voluntary, and participating patients will see no change in their Original Medicare benefits and will keep their freedom to see any Medicare provider.
Included in the Next Generation ACO Model are strong patient protections to ensure that patients have access to and receive high-quality care. This will deliver better care for individuals, better health for populations, and improve efficiency in healthcare delivery.
3-Day Skilled Nursing Facility (SNF) Rule Waive
Under current Medicare law, Medicare only covers care in a SNF if a patient has a prior three-day inpatient hospital stay. This new feature may allow you to get Medicare covered SNF services at a participating SNF without a mandatory three-day inpatient hospital stay.View List
Post-Discharge Home Visits
UniPhy ACO is expanding its post-discharge service to provide more comprehensive follow-up care at home after discharge from a hospital to help with the sometimes challenging transition between the hospital and home.View List
Telehealth services allow you to receive some health care services using real-time communication between you and your primary care doctor or specialist.View List
Coordinated Care Reward
Coordinated care helps to cut waste and create savings. Patients who get good care stay healthier, have fewer complications and require fewer hospitalizations. Coordinated care avoids wasted time and costs for repeated tests and unneeded appointments. It is easier to spot potential problems before they become more serious – like if one doctor is not aware of a drug another doctor has prescribed. Coordinated quality care more than pays for itself. Medicare knows this and will be rewarding patients who help us meet this goal with what they call a Coordinated Care Reward - a $25 check to you. To receive the reward, all you have to do is receive a Medicare Annual Wellness Visit with your preferred physician from UniPhy ACO. The Annual Wellness Visit is a chance for you to discuss your health, your medications, and your team of physicians with your primary doctor to ensure s/he can coordinate your care. Please know that even with this reward you’re not limited to a fixed set of providers. You are still free to use any doctor or hospital that accepts Medicare.
Meet Our Team
Rene J. ValverdePresident
Janette RojasCompliance Officer
Get in Touch
If you have any questions, comments or just to want to reach out, please contact us.contact