Provider Graph

see larger graphic

UPMC Health Plan works closely with a team of "accountable providers" in a complete range of specializations.

Doctors Rate UPMC Health Plan
Superior to Other Plans
Utilization Management Utilization Management
26%
higher than national average
Network Network
21%
higher than national average
Customer Service Customer Service
20%
higher than national average
Quality Management Quality Management
20%
higher than national average
Provider Relations Provider Relations
18%
higher than national average
Financial Issues Financial Issues
11%
higher than national average
Source: The Myers Group, 2002
 
 
 

John Kokales, MD, is a doctor at Community Medicine, Inc., a large practice in Pittsburgh. He knows doctors play a vital role in helping to contain health care costs. He welcomes Health Plan data that show how he compares with his peers in using such resources as inpatient hospital care and diagnostic tools, and how well he controls costs. In examining recent statistics, Dr. Kokales found that some of his patients were using expensive emergency room services when they didn’t have to.

“The disadvantage for people with colds or backaches is that they sit for three or four hours in the emergency department. It just delays their care,” he says. “With Health Plan information, we can find out why they’re making that choice, and develop ways to provide better access to our office.”

When he needs to refer a patient to a specialist, Dr. Kokales appreciates the ease of our process for routine referrals. Instead of following a formal procedure, his office staff can fax or call the specialist. “It makes it a lot easier for both the patient and the physician. There’s no paperwork and you’re not being barraged by phone calls,” Dr. Kokales explains. ”It’s one of the things the Health Plan is way out in front on.”

There are many conscientious doctors like
Dr. Kokales in the Health Plan’s network of physicians. “Everyone in the health care loop is responsible for protecting limited resources,” observes Dr. Kokales. Our network hospitals and facilities collaborate with physicians such as Dr. Kokales, and with the Health Plan, to make the most of these resources while providing excellent care.

return to top of page

 

 

 

   
 
 
  Financials | CEO's Report | Members | Doctors | Hospitals
UPMC Health Plan | Employers | Community
Quality Improvement Commitee | Board Members and Company Officers
Mission and Values | Home

 

 

Employers Community Employers Members Community Members Employers Community Employers Members Community Members UPMC Health Plan UPMC Health Plan Hospitals Hospitals Doctors Doctors UPMC Health Plan UPMC Health Plan Hospitals Hospitals Doctors Doctors Mission and Values CEO's Report Mission and Values CEO's Report Financials Financials Mission and Values CEO's Report Mission and Values CEO's Report Financials Financials Quality Improvement Committee Home Quality Improvement Committee Board Members and Company Officers Home Board Members and Company Officers Quality Improvement Committee Home Quality Improvement Committee Board Members and Company Officers Home Board Members and Company Officers