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9 <br />UnitedHealthcare (Ul IC) <br />UnitedHealthcare provided the County with t <br />presentation by UHC emphasized its extensive <br />consultative services, the SimplyEngaged ~ <br />management to improve- health care quality, C; <br />its web, mobile, and print communications. <br />ie lowest renewal rates for 2012. A recent <br />network of providers, comprehensive reporting, <br />Fellness benefits and rewards, health care <br />ire Coor-diva#ion to identify at-risk patients, and <br />UHC monitors 53 conditions through medical claims, lab results, pharmacy data, and health <br />assessments to identify risks -earlier and ensure members receive treatmen# in line with <br />evidence-based treatmen# guidelines. UHC- works with both the member and the provider to <br />deliver education and appropriate care such as medication, testing, and treatment <br />Comparison with NCACC County Health Plan <br />The NCACC combined three separate components of health care coverage into-one package. <br />Medical claims are currently administered by CIGNA, prescription claims -are administered by <br />Caremark, and chronic conditions are managed by Alere (formerly Accordant). If UHC becomes <br />the County's new carrier, all three components would be handled by UHC. <br />The UHC provider -network includes 95% of the current CIGNA-providers utilized by employees. <br />One provider identified- as not being in th-e UHC network is the NC Specialty Hospital in <br />Durham, and they -have been accepting the network rates paid by UHC. UHC would work wi#h <br />providers to promote network membership. <br />Comparison with Other ]usurers <br />The American- Medical Association's National Health Insurer Report Card (NHIRC) provides <br />physicians-and the general public a reliable and- defensible source of critical metrics concerning <br />the timeliness and accuracy of claims processing by health insurance companies. The better an <br />insurer's efficiency, the less costly is the claims processing component. The full National Health <br />Insurer Report Card can be reviewed at this link: <br />http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your- <br />practice/coding-billing-insurance/heal-claims-process/national-health-insurer-report-card.page <br />Eight insurers were surveyed using data from nationally mandated Health Insurance Portability <br />and Accountability Act of 1996 (HIPAA) electronic standard transactions and data reported by <br />the commercial payers: Aetna, CIGNA, Anthem, Health Care Services Corporation, Human, <br />Regency, Medicare and UHC. In summary, the survey provides data related to the claims paid <br />within specific timeframes, how many payments are made by paper vs. electronic checks, the <br />number of claims denied, and other factors. The Report Card indicates that UHC is extremely <br />competitive with the other insurers. <br />In 2011, UHC improved its rate of claim denials due to requirements for prior authorization in <br />2011 by 50%, for a significant increase in efficiency. It is in compliance with HIPAA regulations <br />for mandated reporting requirements. <br />A-7 <br />