Humana's value-based reimbursement model is primary care centric and
focused on the triple aim of improved care, improved population health
and lower healthcare costs. Humana's approach to value-based
reimbursement involves analyzing practice readiness for participation in
value-based reimbursement programs, and determining where appropriate
practices might fit along the Accountable Care Continuum.
Humana has a 26-year accountable care relationship history with more than 1.2 million MA members that are cared for by 38,000 primary care physicians, in more than 900 Accountable Care relationships across 43 states and Puerto Rico. Humana accountable care agreements have included pay-for-results incentives based on improved clinical outcomes, a better patient experience and reduced costs. Such value-based arrangements emphasize quality outcomes with a focus on care coordination and leverages measures as defined by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) like diabetes care and treatment, breast cancer screenings, colorectal cancer screenings and high-risk medication.
Please join Humana's Mike Funk on Wednesday, January 21st, 2015 at 1PM Eastern as he discusses Accountable Care Relationships: Humana's Approach to Value-Based Reimbursement. Click here for detailed information and to register or call 209.577.4888.
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