Forbes November 21, 2019
Bruce Japsen

Humana’s continued shift from fee-for-service medicine to value-based payments for physicians is shaving more costs for seniors enrolled in Medicare Advantage plans, the insurer says, citing an annual new internal study.

Medical costs were 20% lower for seniors enrolled in Humana Medicare Advantage plans that paid physicians via value-based models in 2018 compared to costs of those in traditional fee-for service Medicare, the Louisville-based insurer’s study, released Thursday showed. Humana said that percentage reduction translates to “$3.5 billion in avoided covered medical expense that would have been incurred had patients been enrolled in original Medicare.”

The study comes as more Americans flock to Medicare Advantage plans, thanks in part to new rules that allow them to cover more supplemental benefits....

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Topics: Health System / Hospital, Insurance, Market Research, Medicare Advantage, Payer, Payment Models, Physician, Primary care, Provider, Trends, Value Based
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