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UNH » Topics » VII. Expected Outcomes

This excerpt taken from the UNH 10-K filed Mar 1, 2005.

VII. Expected Outcomes

 

The PSDP approach supports the primary physician’s use of evidence-based clinical guidelines, and will seek to reduce acute exacerbations of chronic diseases and enable more effective, evidence-based self-management of members.

 

1. Expected benefits for the SHIP program and the Parties include reduced hospital admissions, reduced medical claims expense for the Medicare Supplement product, and avoided Medicare allowable costs.

 

***  Represents text which has been redacted and filed separately with the Securities and Exchange Commission pursuant to a confidential treatment request pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.

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2. The 400 members participating in the Chronic Care Program pilot intervention group are expected to enjoy the following outcomes:

 

  •   Improved quality of life associated with decreased stress and increased efficacy in dealing with their complex health needs.

 

  •   Decrease in avoidable hospitalizations and emergency room visits.

 

  •   Decrease in medical complications due to medical errors associated with errors of omission and commission inherent in fragmented medical care.

 

  •   Enhanced relationships with their primary physician.

 

  •   Increased satisfaction with their AARP Medicare Supplement product.

 

  •   Increased use of advance directives.

 

  •   All AARP Medicare Supplement Members would be expected to benefit from decreased premium pressure under a successful pilot that resulted in CMS funding approval.

 

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EXHIBIT 3.2.2(k)(2)

 

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