October 04, 2017
Area(s) of Interest: Commercial Payors Payor Contracting
UnitedHealthcare (UHC) has announced that the next iteration of its Peer Comparison Reports will be sent to physicians beginning in November. The Peer Comparison Reports, formerly known as performance reports, contain analysis of a physician’s UHC paid claims data in comparison to nationally-based and risk-adjusted benchmarks. Only physicians whose paid claims data shows patterns that vary significantly from the identified benchmarks will receive a Peer Comparison Report.
According to UHC, approximately 550 physicians in the following specialties will receive a Peer Comparison Report notification indicating that their paid claims data has identified variations from expected UHC practice patterns.
- General Surgery
- Neurosurgery, Orthopedics and Spine
UHC states that the purpose of the Peer Comparison Reports is to provide physicians with access to information on how their clinical practice compares to claims data of other physicians or medical groups of the same specialty and to highlight areas physicians may want to address to improve quality and/or efficiency for their practices.
Unlike the UnitedHealthcare Premium Designation assessment results sent to physicians in early July, the Peer Comparison Reports are not released publicly and are only viewed as informational for the practice at this point.
For more information on the UHC Peer Comparison Reports, see the FAQ on the UHCprovider.com website.
Physicians who have questions or concerns regarding their report can contact UnitedHealthcare at email@example.com or by calling the UHC Health Care Measurement Resource Center at (866) 270-5588.