UNISON GOLD STAR PROVIDER

Providing a recognition and rewards program to recognize the excellence of participating physicians with respect to their commitment to the health plan, their accessibility to health plan members, their provision of effective and economic medical services, their quality of care and service, and their administrative efficiency, and to reward them with recognition, publicity, relief from specified health plan administrative requirements such as aspects of prior authorization for documentation of medical necessity of covered services, and financial bonuses, for the purpose of improving the quality of health care services delivered to members of the health plans and to reduce administrative burdens for the providers and the health plan administrators

Administration of health care benefit plans for Medicare and Medicaid eligible individuals, managed care insurance service (HMO)