Care Management

Care management programs come in all shapes and sizes, and UPMC in central Pa. has taken different approaches with employers to meet their needs.

Bundled Payments

The CARES program worked closely with local employers, as well as an orthopaedic practice and a third-party data analytics firm, to pilot a bundled payment program for joint replacements. Bundled payments are an alternative pricing arrangement where the price for all services related to an episode of care are fixed. The employer's goals were to improve clinical outcomes and patient satisfaction, control total costs and implement process improvements. In addition to meeting these goals, UPMC in central Pa. confirmed its role as the high-quality, low-cost provider in Central Pennsylvania. It is using the lessons learned from the pilot and has expanded the program to other parties and across other services.

On-site and Near-site Clinics

UPMC in central Pa. has a long-term relationship with an employer to offer primary care to its employees at the worksite. To get the most value for every dollar they spend on health care, other organizations are also considering worksite clinics staffed by UPMC in central Pa. to:

• Control costs by replacing inappropriate emergency and urgent care with primary care.
• Improve outcomes by managing employees with chronic conditions such as diabetes.
• Reduce absenteeism by making health care more accessible and convenient.

Retail Clinics

Employers want their employees to get the right care in the right place at the right cost. Sometimes this means getting care at a UPMC in central Pa. clinic in a local grocery store.

• UPMC in central Pa. provides dozens of free community education programs at Giant Foods grocery store locations every year.
• UPMC in central Pa. partnered with Giant Foods to open PinnacleHealth FastCare at the Camp Hill store in 2014 a second FastCare Clinic was opened at the new Enola store in 2015.
• Click here to learn more about FastCare's services.

Cost Calculator

At CARES, we understand that your employees are confused about, and frustrated with, the cost of health care, and you want them to make cost-effective decisions. So UPMC in central Pa. developed a medical cost calculator ("E$timator") to help its patients estimate out-of-pocket costs, plan for their medical expenses and make more informed decisions.

Need more information?

Phone: 717-231-8018

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