Humana Launches National Value-Based Model for Maternity Care
April 18 2018 - 10:00AM
Business Wire
Bundled Payment Model Aims to Improve Patient
Experience and Outcomes for Humana Commercial Group Members
Leading health and well-being company Humana Inc. (NYSE: HUM) is
teaming up with OB-GYN practices to launch a national, value-based
care maternity bundled payment model for Humana commercial group
members with low-to-moderate-risk pregnancies.
Humana’s Maternity Episode-Based Model is designed to improve
quality, outcomes, and cost across a member’s entire perinatal
episode of care - involving the mother’s prenatal, labor and
delivery, and post-delivery care – and financially incentivizes
OB-GYNs who achieve better outcomes. Humana provides robust data
and analytics designed to enhance patient care; deliver a more
coordinated care experience; and reduce duplicative services,
readmissions, and complication rates.
Humana’s inaugural maternity bundled payment agreements are with
five voluntarily-participating practices: Ob/Gyn Associates of
Southern Indiana (Indiana); Mid America Physician Services
(Kansas); Seven Hills Women’s Health Centers and TriHealth (Ohio);
and Consultants in Women’s Health (Texas).
“Because quality maternity care is important for many of our
members and a significant focus of specialty care services in our
country, we’re very pleased to launch Humana’s newest
specialty-care bundled payment model,” said Caraline Coats, Vice
President of Humana’s Provider Development Center of Excellence.
“Humana is dedicated to working with OB-GYNs across the country to
provide a better patient experience and improve patient outcomes,
while also tackling the cost challenges inherent in perinatal
care.”
The maternity payment model is Humana’s second specialty-care
payment model, following its total joint replacement episode-based
model for Humana Medicare Advantage members undergoing total hip or
knee joint replacement procedures. Since its launch in 2016, that
program has expanded its footprint and is now offered at
approximately 40 orthopedic groups in 13 states across America.
Specialty-care bundled payment programs are part of Humana’s
longstanding commitment to value-based care, which emphasizes:
- More personal time with health
professionals and personalized care that is tailored to each
person’s unique health situation;
- Access to proactive health screenings
and programs that are focused on preventing illness;
- Improved care for people living with
chronic conditions with a focus on avoiding health complications
(watch Humana’s “Better Chronic Management Through Value-Based
Care” video);
- Leveraging technologies, such as data
analytics, that connect physicians and help them work as a team to
coordinate care around the patient; and
- Reimbursement to physicians linked to
the health outcomes of their patients rather than solely on the
quantity of services they provide (fee-for-service).
Humana has an extensive and growing value-based care presence.
As of December 31, 2017, Humana has 1.9 million individual Medicare
Advantage members and approximately 140,000 commercial members who
are cared for by 52,000 primary care physicians in more than 1,000
value-based relationships across 43 states and Puerto Rico. Humana
reached its 2017 calendar year goal of having 66 percent of
Humana’s 2.9 million total individual Medicare Advantage members
seeing primary care physicians in value-based payment
relationships. Humana’s total Medicare Advantage membership is
approximately 3.3 million members, which includes members
affiliated with providers in value-based and standard Medicare
Advantage settings. For more information,
visit humana.com/valuebasedcare.
About Humana
Humana Inc. is committed to helping our millions of medical and
specialty members achieve their best health. Our successful history
in care delivery and health plan administration is helping us
create a new kind of integrated care with the power to improve
health and well-being and lower costs. Our efforts are leading to a
better quality of life for people with Medicare, families,
individuals, military service personnel, and communities at
large.
To accomplish that, we support physicians and other health care
professionals as they work to deliver the right care in the right
place for their patients, our members. Our range of clinical
capabilities, resources and tools – such as in-home care,
behavioral health, pharmacy services, data analytics and wellness
solutions – combine to produce a simplified experience that makes
health care easier to navigate and more effective.
More information regarding Humana is available to investors via
the Investor Relations page of the company’s web site at
www.humana.com, including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission
filings
- Most recent investor conference
presentations
- Quarterly earnings news releases and
conference calls
- Calendar of events
- Corporate Governance information
View source
version on businesswire.com: https://www.businesswire.com/news/home/20180418005705/en/
Humana Corporate CommunicationsAlissa Krinsky,
312-441-5576akrinsky@humana.com
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