PAUC's proposition: we enable our physicians to share in the rewards of providing effective and efficient care to their members.

PAUC's Contracted Health Plans

Care Plus Health Plans, Inc.
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Summit Health Plans
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Humana
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IPC
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Preferred Care Partners
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Amerigroup
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Simply Health
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United Health Insurance

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Vista
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WellCare
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Our Patients are our Number One Priority Our Patients are our Number One Priority
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We offer business partnerships with our physicians by creating market Risk Sharing Opportunities. These opportunities provide the ability for increased Revenue in the form of two models. One being a Capitation Bonus System and the other a Medical Risk Adjustment Bonus System. In both of these models, we enable our physicians to share in the rewards of providing effective and efficient care to their members.

Our Offering
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PAUC provides their Partners with the ability to increase revenue by sharing in the Surplus:

Capitation Bonus System
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This method provides you with a set fixed rate (depending on the plan) per member per month. An additional Bonus Payment is made based on the achievement of established goals.

Medical Risk Adjustment Bonus System
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This offering combines the Capitation method described above with a more enhanced Bonus System that has the potential to yield a significantly higher payment.

We provide valuable information
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Free managed care training sessions are offered to inform providers of changes within the HMO arena that affect them and their practice directly
or indirectly.

We are able to give our providers a Financial Analysis to allow for decisions that will positively affect their overall profit. Listed are a few of the reports we offer:

  • - Trend Analysis
  • - MLRs reporting
  • - Rx cost comparisons
  • - Hospital Admissions

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