UnitedHealthcare NexusACO is coming to Washington and Oregon to help lower costs and expand access to quality care

The NexusACO® plan will be available with an effective date of January 1, 2022, to Small Business and Key Account employers with 2–2,999 employees in Benton, Clark, Cowlitz, King, Kitsap, Lewis, Pierce, Spokane, Skagit, Snohomish, Spokane, Thurston, Whatcom and Yakima counties in Washington, and in Clackamas, Lane, Multnomah and Washington counties in Oregon.

To build the NexusACO provider network, UnitedHealthcare collaborates with select ACOs across the country dedicated to offering higher quality care at lower costs. These providers are featured at the highest benefit level (Tier 1) in the NexusACO network. In markets where ACOs are not yet featured, the NexusACO Tier 1 network includes designated UnitedHealth Premium® Care Physicians and specialists.

To find Washington Tier 1 networks and other quality primary and specialty care physicians, a PDF download will be uploaded here soon – check back shortly. And to find Oregon Tier 1 networks and other quality primary and specialty care physicians, a PDF download will be uploaded here soon – check back shortly. 

Tier 2 access is designated by the UnitedHealthcare national Choice Plus network. If a member does not reside in the designated service area, their Tier 1 solution will default to the UnitedHealth Premium designation program provider network.

In Washington and Oregon, these organized groups of physicians, hospitals and other care providers work together to coordinate patient care and participate in incentive programs to help improve quality standards and the efficiency of care.

How it works
The NexusACO plan offers multiple benefits for customers and their employees, including: 

• Potential lower costs – Employees connected with top-performing primary care physicians (PCP) typically receive better care coordination, which may result in up to 15%* lower costs for employers.
• Simpler experience – PCPs guide members and their families to help meet their care needs.
• A path to improved outcomes – Routine visits with a PCP may help employees uncover major conditions without symptoms before they become debilitating.

For more information, please contact your broker or UnitedHealthcare representative.