UPMC Insurance Services Division Populations of Interest and Business Priorities
The UPMC Insurance Services Division (ISD) and Center for High-Value Health Care (CHVHC) are interested in co-design of research projects with academic and other collaborators that advance the healthcare quintuple aim and focus on business priorities as identified by UPMC ISD leadership and CHVHC Board of Directors. Below is a list of current populations and business priorities of particular interest to the CHVHC and ISD. Due to the substantial resources required for long-term collaboration, the ISD and CHVHC must focus on the areas likely to provide the most benefit to our members. These are areas aligned with ongoing UPMC efforts and, as a result, are best suited for the enduring and synergetic collaborations we intend to establish.
Populations of Interest*
- Perinatal individuals
- Medicare Advantage and SNP beneficiaries
- Dual-eligible individuals (i.e., Medicare and Medicaid) and members with intellectual and developmental disabilities
- Infants, children, and families at risk for poor health outcomes
- Individuals with multiple chronic conditions
- Individuals with mental health and/or behavioral health conditions
- Populations that are underserved, have limited English proficiency, or are more likely to experience healthcare inequities
* Please note that the above list is not exhaustive; projects that explicitly address business priorities but fall outside of the populations of interest may be considered.
Business Priorities
- Enhance access to high-quality, safe, and equitable healthcare
- Reduce unplanned care use and optimize use of community/ambulatory services
- Optimize outcomes in post-acute care
- Enhance member/patient experience
- Strengthen community partnerships
- Address social determinants of health
- Enhance impact of value-based and other novel payment approaches
- Optimize impact of integrated care approaches (e.g., BH/PH integration)