Healthcare Finance News March 19, 2019
Value-based programs are in Humana’s Medicare Advantage business, where insurer had a 17 percent market share last year.
Humana is ramping up its bundled payment programs for the insurer’s Medicare Advantage members.
The company is both expanding its existing episode-of-care-based model for total hip or knee joint replacement procedures, and teaming up with orthopedic and neurosurgery practices to launch an entirely new bundled payment initiative for spinal fusion surgeries.
WHY THIS MATTERS
Both programs offer the opportunity for additional payments to physicians and clinicians for improved patient health outcomes and lower costs.
The models are aimed at improving quality and outcomes across members’ entire episodes of care by encouraging providers to coordinate their efforts.
For example, improvement in the new...
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