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Quality Care Bonus Opportunities

In 2024, your practice can earn quarterly and annual Quality Care bonuses when you address open care opportunities for your UnitedHealthcare® Medicare Advantage members.

A new 4th quarter earning opportunity is available. See the bolded measures in the following tables.

2024 HEDIS® Star Rating ID Quality Care measure Payment eligibility* Eligible payment per Quality Care measure closure
C08 Osteoporosis Management in Women Who Had a Fracture (OMW)  Quarterly $50
C11 Controlling High Blood Pressure (CBP) Annual $10
C14 Transitions of Care TRCMRP – Medication Reconciliation Post-Discharge Quarterly $25
C16 Statin Therapy for Patients With Cardiovascular Disease (SPC) Quarterly $20
DMC22 Kidney Health Evaluation for Patients with Diabetes (KED) Quarterly $20
D12 Statin Use in Persons with Diabetes (SUPD) Quarterly $20
N/A Quarter 1 and 2 High Priority Member Annual Care Visit (High Priority ACV) between Jan. 1–April 30 Quarterly $200
N/A Quarter 4 High Priority Member Annual Care Visit (High Priority ACV) between
Oct. 1–Dec. 31
Quarterly $150
N/A Annual Care Visit (ACV) Quarterly $25
N/A Extended Day Prescription – MAD Quarterly $25
N/A Extended Day Prescription – MAH Quarterly $25
N/A Extended Day Prescription – MAC Quarterly $25

*We’ll review claims and data submissions for the previous quarter(s) and make additional payments, if applicable.

Q4 High Priority Quality Care Bonus

In addition to the ACV opportunities listed above, your practice can earn additional bonuses for completing any of the following quality care measure opportunities for members flagged as Quarter 4 – High Priority. If earned, we’ll pay these bonuses in addition to the Quality Care bonus.

2024 HEDIS® Star Rating ID Quality Care measure Payment eligibility Eligible payment per Quality Care measure closure
C08 Osteoporosis Management in Women Who Had a Fracture (OMW) Paid with final Q4 payment $100.00
C11 Controlling High Blood Pressure (CBP)
C14 Transitions of Care TRCMRP – Medication Reconciliation Post-Discharge
C16 Statin Therapy for Patients With Cardiovascular Disease (SPC)
DMC22 Kidney Health Evaluation for Patients With Diabetes (KED) 
D12 Statin Use in Persons With Diabetes (SUPD)
C01 Breast Cancer Screening (BCS-E)
C10 Glycemic Status Assessment for Patients With Diabetes (GSD)
C02 Colorectal Cancer Screening (COL-E)
C09 Eye Exam for Patients With Diabetes (EED)