Louisville, Ky.-based Humana issued results of its value-based Medicare Advantage reimbursement model, presenting improved healthcare quality and lower costs for the third consecutive year.
In its report of 2015 results, Humana compared quality metrics and outcomes for 1.2 million Medicare Advantage policyholders affiliated with providers operating under a value-based reimbursement model to 170,000 members affiliated with standard Medicare Advantage settings.
Here are three report findings.
1. Humana saw a 20 percent decrease in costs last year for members served by providers in value-based reimbursement models as opposed to fee-for-service settings.
2. Providers operating under Humana value-based reimbursement models had 19 percent higher Healthcare Effectiveness Data and Information Set scores than providers operating under standard Medicare Advantage settings.
3. Policyholders served by providers in value-based reimbursement models visited the emergency department 6 percent fewer times than members in standard Medicare Advantage fee-for-service settings.
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