Dec 11, 2023
The UnitedHealth Premium® program provides physician designations based on clinical quality criteria to help members make more informed choices about their medical care. Physician designations are updated prior to the open enrollment season each year, so that members can verify a physician's status before enrolling in a benefit plan.
For plan year 2024, the primary focus of the UnitedHealth Premium plan is enhancing the consumer experience to increase trust and usability of the program. As a part of these enhancements, designations have been simplified. In addition, the program now will place a greater emphasis on quality of care.
The UnitedHealth Premium program evaluates sixteen physician specialties.
In lieu of the previous four designations, there is now one designation: Premium Care Physician. Physicians earning this designation must first meet the quality criteria for safe, timely, effective, and efficient care. If quality is met, they are then evaluated to determine whether they are statistically low-cost, defined as below or not different than the 75th percentile cost efficiency performance.
A subset of the Premium Care Physicians will be assigned to Tier 1 status. Physicians qualifying for Tier 1 status requires a statistically lower cost of care as compared to non-Tier 1 physicians. Members in tiered benefit plans are encouraged to continue to leverage the Tier 1 icon in the myUHC.com provider search to identify providers that provide the best benefits for their plan.
Contact your Amwins Connect Regional Sales Manager for more information.
