Peter Kelly has been named Risk President for Optum Tri-State. In this role, Peter is responsible for the operational and financial performance of the Tri-State’s Risk Bearing Entity (RBE) and Medicare risk transfer program. The risk transfer program is critical to our success as a region. It enables Optum Tri-State physicians to accept global capitation (i.e., pre-payment) for the total cost of care for our patients, and aligns our care delivery with total quality outcomes. The RBE has grown rapidly across the Tri-State market. Over the past year the business has grown from 14,000 to 58,000 globally capitated, full risk patients (data as of Q1 2022).

We anticipate continued outsized growth in risk membership in 2023 and 2024. Importantly, the Tri-State RBE has payer relationships beyond UHC, and now contracts directly with Humana, Anthem, and CMS.  This multi-payer approach to risk transfer and globally capitated payment further supports our patients and physicians as we build a unified care delivery platform.