Medicare Advantage members in value-based care see 229,000 fewer inpatient admissions: Humana

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Humana saw a 24.3% decrease in inpatient admissions, or a 229,000-stay dip, for Medicare Advantage members in value-based care arrangements versus those in traditional Medicare in 2024, according to Humana’s “12th Annual Value-based Care Report,” published Feb. 4.

Humana reviewed 2024 data to evaluate outcomes for its Medicare Advantage members. Seventy-one percent of Humana individual MA members receive care from value-based primary care providers.

Here are six other numbers to know from the report:

1. Along with the comparison to traditional Medicare members, MA members in value-based care arrangements also see 7.6% fewer inpatient admissions compared to those in non-value-based care MA arrangements.

2. Compared to MA members not in value-based care arrangements, these members had 13.4% fewer emergency room trips, translating to 204,000 saved visits.

3. Patient satisfaction scores went up with value-based care. MA patients with value-based clinicians reported better experiences on the Consumer Assessment of Healthcare Providers and Systems survey versus their fee-for-service counterparts. The Net Promoter Score for individual MA members with value-based providers was 13 points greater.

4. Humana estimates $12.8 billion in savings due to MA value-based arrangements, down 26.3% from traditional Medicare’s costs.

5. Value-based practices earned twice as many dollars on average over the Medicare fee schedule.

6. Medicare HEDIS scores saw meaningful improvement across chronic disease management metrics.

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