[ united ipa ]

Quality & Performance Overview

4.6

Network Quality Score

/5.0

What the Score Represents

United IPA’s 4.6 quality score reflects aggregated performance across a balanced set of quality, patient experience, and care coordination measures used by major payers and regulators. It draws on HEDIS measure performance, Medicare Star Rating composite results, patient experience survey results (CAHPS), and utilization efficiency indicators — blended into a single comparable benchmark.

The score is calculated on a rolling basis and independently verified against payer-reported performance files. It is not a marketing figure — it is the same data payers use to determine quality bonus payments, narrow network eligibility, and contract terms.

Sustaining a 4.6 across a diverse network of independent practices requires a disciplined, continuous improvement approach. It is earned one encounter at a time, across every practice in the network.

Quality matter

How We Maintain It

Continuous Measurement

We monitor every open care gap, every documented encounter, and every patient experience signal — not once a year, but every day.

Practice-Level Coaching

Quality liaisons embed with practices to translate data into workflow changes that move the numbers.

AI-Driven Insights

Our AI platform flags rising-risk patients, coding opportunities, and outreach needs so practices can act proactively.

Network-Wide Benchmarking

Practices see how they perform relative to the network, so best practices spread quickly — and struggling areas get immediate support.

Physician-Led Governance

Our Quality Committee, led by practicing physicians, sets priorities and reviews performance at every level of the network.

Targeted Outreach Campaigns

Network-level campaigns for screenings, wellness visits, and chronic disease follow-ups complement practice-level efforts.

Our Quality Improvement Cycle

We operate on a continuous, four-stage improvement cycle that turns data into action at the practice level:

  1. Measure — Real-time ingestion of EHR, claims, and payer data to establish current performance.
  2. Prioritize — Identify the highest-leverage opportunities per practice: which measures to focus on, which patients to reach first.
  3. Act — Deploy point-of-care alerts, outreach campaigns, workflow adjustments, and staff training tailored to each practice.
  4. Review — Monthly performance reviews with your quality liaison to verify improvement and set the next focus area.

Measure Categories We Track

Preventive Care

Breast, colorectal, and cervical cancer screening; adult and pediatric immunizations; well-child and well-adult visits.

Chronic Disease Management

Diabetes care (HbA1c, eye exam, nephropathy), hypertension control, statin use in patients with diabetes and cardiovascular disease.

Behavioral Health

Depression screening and follow-up, substance use screening, medication adherence.

Medication Safety

High-risk medication use in the elderly, polypharmacy monitoring, statin persistence.

Patient Experience

Access to care, communication, coordination, and overall rating of provider.

Care Coordination

Follow-up after hospitalization, transitions of care, specialist closed-loop referrals.

Utilization Efficiency

Avoidable ED visits, ambulatory-sensitive admissions, generic prescribing rates.

Why It Matters for Providers?

A higher quality score translates into direct provider benefits:

How Your Practice Sees the Data

Practice Dashboard

A single view of your measure-by-measure performance, updated continuously from EHR and claims data.

Care Gap Lists

Specific, actionable patient-level lists: who needs what, when, and the best way to reach them.

Physician Scorecard

Individual physician-level performance where multiple providers practice together — fairly risk-adjusted.

Benchmarks

Peer comparisons against the network and against top-decile performers, so you always know where to aim.

Our Commitment

We commit to every member practice that we will provide the data, tools, and support to move your individual quality score up and to the right — while preserving the clinical judgment and autonomy that make you a great physician. Quality improvement should never feel like a burden; it should feel like a partnership that pays off in better patient outcomes and a healthier practice.

Have questions? Get in touch!

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