Humana reported the following results for its accountable care continuum, as compared to traditional fee-for-service settings:
- Accountable care providers received a Healthcare Effectiveness Data and Information Set Star score average of 4.25, compared to the 3.65 average score of providers in traditional settings. HEDIS Star scores measure managed care performance.
- Emergency room visits decreased 7 percent per thousand for accountable care beneficiaries.
- Inpatient admissions decreased 4 percent per thousand.
- Among Medicare Advantage beneficiaries with diabetes, there was a 7 percent increase in screening compliance for cholesterol, eye exam and blood sugar.
- Cholesterol screening compliance for cardiovascular care increased 5 percent.
- BMI screening compliance increased 5 percent.
- Colorectal cancer screening compliance increased 7 percent.
- Humana’s costs improved 19 percent in 2013 in total in accountable care treatment settings compared to traditional Medicare settings.
Findings are based on results from 1 million members in 2013, and 800,000 members for cost, emergency room and inpatient admissions data.
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