Humana's healthcare costs decrease 15% under value-based models

  • Small
  • Medium
  • Large

While the national average of payments to primary care physicians under value-based agreements is 6 percent, PCPs in value-based agreements with Humana received 16.2 percent of payments, according to Humana's annual report.

The insurer's "Making Progress, Seeing Results" report examines outcomes and savings related to Medicare Advantage members receiving care under value-based reimbursement models. Humana holds value-based payment agreements with 51,500 primary care physicians caring for 1.9 million Medicare Advantage members.

Here are three key findings from the report.

1. Total healthcare costs were 15 percent lower under Humana's value-based models when compared to fee-for-service Medicare costs.

2. In terms of health outcomes, members under Humana's value-based agreements saw a 7 percent decrease in emergency department visits and a 6 percent decrease in inpatient admissions.

3. Humana achieved its year-end goal of covering 66 percent of its individual Medicare Advantage beneficiaries under value-based payment models Sept. 30. 

More articles on payer issues:
Humana elects former ONC chief to board of directors: 5 things to know
Anthem president to Hartford HealthCare CEO: It's time for compromise
BCBS of Alabama appoints president, COO; CEO to step down in 2018

Copyright © 2021 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Featured Whitepapers

Featured Webinars