Programa de mejora de la calidad

At UnitedHealthcare (UHC), our mission is to help people live healthier lives and make the health system work better for everyone. 

The UHC Community Plan of Minnesota covers medical, behavioral, pharmacy, vision, and dental services. The plan can also help you get a ride to your appointments. We serve members who are signed up for Medical Assistance (Medicaid) and MinnesotaCare. This includes members who live in Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington counties. Our goal is to make sure everyone gets high quality healthcare and has access to things like food and housing. 

We use tools like data and surveys to find areas or groups of people that need extra help. We then work with providers and members to make sure that members get the care that they need when they need it. We share learning materials with providers and members. We offer financial incentives to facilitate appropriate care. We identify members who need extra help; for example, patients who live with many chronic diseases. Members with complex needs receive extra support from our case managers. We also meet with our members in the community. We partner with local groups that support the communities we serve. Our team works with the community, members, and our providers to improve healthcare quality for everyone. 

One project we are working on is called Healthy Mothers and Children. We work with our pregnant members early on in their pregnancy. This might mean making sure they can get to the clinic, have food and a place to live.

After the baby is born, it is important to bring the baby to the doctor. The doctor will check things like the baby’s weight, eyes, ears, and heart. When the baby grows older, doctors can help teach children how to be healthy. This might mean talking about exercise, healthy food and how to prevent injuries.

Our Healthy First Steps program helps pregnant members before and after they have their babies. We can help find a doctor, give tips for how to have a healthy pregnancy and offer rewards for visiting the doctor.  At UHC, we help families get the care and support they need, when they need it most.

In 2021, UHC worked with the community in Minnesota on a COVID prevention project. This project called Safety Testing Overall Partnerships (S.T.O.P.) COVID provided over 2,000 people in Saint Paul, MN with COVID vaccines, masks, and hand sanitizer. In collaboration with Minnesota Community Care, the S.T.O.P. COVID initiative delivered over 2,000 vaccines and over 1,000 safety kits in November and December 2021.

We have a Dental Quality Program. Our goal is to improve oral health for our members. We want to make it easy for members to use their dental benefits. Preventative dental visits decrease the risk of oral disease. We work to increase awareness about dental health. We send reminders and learning materials to our members. We also participate in community events. 

The UHC Community Plan is new in Minnesota. A group called the National Committee for Quality Assurance (NCQA) shares information with us on how to improve the quality of health care we provide to members. As a new plan, it is our goal to meet their standards for accreditation. Being accredited means we have made a promise to manage high quality care standards. To learn more about NCQA, visit their website.

We want to hear your questions and feedback! Please email our team if you would like to learn more or share ideas for what we can do better.