History of UNno healthcare, LLC
Why we do what we do:
UNNO Healthcare (UH) was formed to bring a group of physicians together with similar views and approaches to providing the highest quality of care to their patients while controlling costs. UH's contracts with Primary Care Physicians (PCP) to render medical services to enrolled members.
UH is staffed to facilitate a mechanism in which Physicians can continue to provide excellent service to their patients with the assistance of our knowledgeable staff and key programs in place to satisfy the ever-changing needs of members. UH enables these doctors to be part of a group with a large number of Medicare members. With UH's extensive experience and relationships within the industry, it has helped set us apart from the competition and allowed us as a company to strive to a substantial membership within relatively a short period of time. UH has been able to implement processes and procedures needed to maximize each practice from day one.
UNNO Healthcare’s management philosophy is based on responsibility and mutual respect. UH maintains an environment and structure that encourages productivity for physicians, Medicare beneficiaries, and fellow employees.
Our Partners
SERVICES
Medicare Risk Adjustment (MRA) Team
Medicare Risk Adjustment (MRA) Team
Medicare Risk Adjustment (MRA) Team
Our MRA team evaluates documentation in the medical records and monitors ICD codes submitted on claim/encounters for Medicare Risk Adjustment purposes. The team also conducts a face to face meeting with providers to discuss findings after onsite reviews.
Member Services
Medicare Risk Adjustment (MRA) Team
Medicare Risk Adjustment (MRA) Team
Assist in the coordination of patient care services to include specialist visits, DME, transportation, home health care and various miscellaneous services and any authorization requirements. By coordinating the above, we decrease the barriers that may prevent access to medical care to our membership.
Provider Relations
Medicare Risk Adjustment (MRA) Team
Provider Relations
This department is responsible in achieving and maintaining network participation while providing a high level of educational instruction and support to physicians and their staff. It is also in charge of scheduling routine visits to the physician’s office in order to achieve provider satisfaction and network growth. UNNO believes that these relationships are the avenue to its long term success.
Transportation
Provider Integration Process
Provider Relations
This department is responsible for coordinating fast and efficient transportation to UNNO Members. Providing additional ways to reach quality healthcare is a valuable service to our members and provider offices.
Provider Integration Process
Provider Integration Process
Provider Integration Process
Prior to a physician joining our model, we conduct an analysis of the medical practice to better understand the strengths, weaknesses and future plans in the market. An audit may include a review of patient charts, pharmacy reports, claims data and pertinent data related to the management and cost containment of the medical practice.
Utilization/MLR Management
Provider Integration Process
Provider Integration Process
This department conducts an analysis of all claims data received from the participating HMO, including a detailed monthly Service Fund by physician, along with key recommendations on how each individual practice can better maximize utilization and MLR. The analysis and communication is ongoing on a Daily, Weekly and Monthly basis.
Hedis/Star Measures
Hedis/Star Measures
Hedis/Star Measures
The HEDIS department works together with providers to ensure that data affecting STARS rating is properly coded and submitted to the health plan. Our team facilitates HEDIS reports and data analysis to better enable providers to manage screening tests without affecting the office workflow. To date, we have been successful by remaining proactive throughout the year in collecting and entering the required information.