Universal American ACOs and Fresenius Medical Care Partner to Improve Health of End Stage Renal Disease Patients

WALTHAM, Mass. & WHITE PLAINS, N.Y.–(BUSINESS WIRE)– Collaborative Health Systems (CHS), a Universal American company (NYSE:
UAM), and Fresenius Medical Care (NYSE: FMS), North America’s largest
provider of kidney care services, announced an agreement today to
provide integrated health care management for patients with renal
disease who are enrolled in seven Medicare Shared Savings Program
Accountable Care Organizations (MSSP ACOs) operated by CHS and physician
partners. Under the agreement, the two companies will collaborate to
improve outcomes and reduce the total cost of care for renal patients.
With its wealth of expertise with this complex population, Fresenius
Medical Care will manage the identification, staging and care
coordination of renal patients who, with multiple comorbidities,
comprise a significant portion of total spending by MSSP ACOs.

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This innovative population health partnership is modeled on the
successful programs Fresenius Medical Care operates for more than 10,000
end stage renal disease (ESRD) patients and more than 5,000 chronic
kidney disease (CKD) patients across the country. These programs have
delivered meaningful increases in the quality of care for late stage CKD
patients and reductions in hospitalization and mortality rates for ESRD
patients. Additionally, the jointly developed protocols provide for
enhanced collaboration between primary care physicians and nephrologists
in caring for and coordinating services to address the complex needs of
the renal patient.

Jeff Spight, president of Collaborative Health Systems, addressed the
importance of the program. “As the healthcare system shifts from
fee-for-service to fee-for-value, we believe there are many
opportunities to improve health outcomes while reducing costs for
Medicare beneficiaries with renal disease. Not only do renal patients
have complex needs, they are a difficult group to identify, making it
challenging for providers in ACOs to coordinate their care. We look
forward to working with Fresenius Medical Care as we discover new ways
to improve the care quality of this important population.”

“We are excited to become a strategic partner with Universal American,
Collaborative Health Systems and their ACO physician partners to improve
the quality of life and clinical outcomes for people with renal
disease,” said Ron Kuerbitz, CEO of Fresenius Medical Care North
America. “Collaborative Health Systems has demonstrated its ability to
effectively manage health care spending across its ACO network, and we
look forward to incorporating our expertise in managing renal disease to
further benefit its ACO beneficiaries.”

About Collaborative Health Systems
Collaborative
Health Systems (CHS), a Universal American company (NYSE: UAM), is a
management services organization that partners with primary care
physicians as they move to value-based payment systems. Our core belief
is that primary care physicians are in the best position to influence
the quality and cost of healthcare. CHS provides comprehensive support
for its physician partners by providing actionable data to help
coordinate care and helping practices change behavior to meet the new
quality requirements of the value-based payment system. CHS currently
manages one Next Generation ACO Model, and 22 MSSP ACOs, with
approximately 5,000 providers, mostly primary care physicians, covering
239,000 Medicare beneficiaries. For more information, visit www.CollaborativeHealthSystems.com.

About Universal American Corp.
Universal
American (NYSE: UAM), through our family of healthcare companies,
provides health benefits to people covered by Medicare. We are dedicated
to working collaboratively with healthcare professionals, especially
primary care physicians, in order to improve the health and well-being
of those we serve and reduce healthcare costs. For more information on
Universal American, please visit our website at www.UniversalAmerican.com.

About Fresenius Medical Care North America
Fresenius
Medical Care North America is the premier health care company focused on
providing the highest quality care to people with renal and other
chronic conditions. Through its industry-leading network of dialysis
centers, outpatient cardiac and vascular labs, and urgent care centers,
as well as the continent’s largest practice of hospitalist and
post-acute providers, Fresenius Medical Care North America provides
coordinated health care services at pivotal care points for hundreds of
thousands of chronically ill customers. As the world’s largest fully
vertically integrated renal company, it offers specialty pharmacy and
laboratory services, and manufactures and distributes the most
comprehensive line of dialysis equipment, disposable products, and renal
pharmaceuticals. For more information, visit www.FMCNA.com.

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