Humana launches national value-based hospital incentive program

Humana will now reimburse hospitals based on quality improvement and performance metrics under a new program it revealed April 25.

The insurer's national Hospital Incentive Program, effective Jan. 1, 2018, pertains to hospitals treating Humana's commercial members. The program will compensate hospitals based on three key areas: patient experience, patient safety and patient outcomes.

It will also use seven measures like healthcare-associated infection rates, care coordination, palliative care and more to determine performance. The metrics incorporate two care certification programs developed by The Joint Commission.

Ben Lunsford, vice president of value-based strategies at Humana, told Becker's via email "HIP provides hospitals with an opportunity to participate in a value-based program that recognizes a hospital's continuous patient improvement efforts via earned annual rate increases." Earned annual rate increases are based on hospital performance across the previously stated three key areas.

Humana said it will make a separate announcement soon about how many hospitals are participating in the program.

More articles on payer issues:
Florida names 9 insurers to cover 4M Medicaid beneficiaries under managed care program
Anthem profits up 30% despite 1M decrease in enrollment
Iowa delays contract negotiations for $5B Medicaid program

© Copyright ASC COMMUNICATIONS 2019. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.

 

Top 40 Articles from the Past 6 Months