Humana’s Clinical Quality Metrics Alignment program looks to improve patient health outcomes and further align with the industry’s shift toward value-based payments. The program encourages physicians to move from fee-for-service agreement with Humana to a value-based model.
To narrow its quality metrics, Humana collected 1,116 quality metrics from 29 data sources across the company, vetting the metrics for repeats, inconsistencies and clinical relevance. The insurer also analyzed the data and received physician input before making the more than 80 percent reduction in quality metrics.
“Metrics that are not connected to patient health can serve as obstacles in their transition and distract from the intent of care tied to quality,” Roy Beveridge, MD, CMO at Humana, said in a prepared statement. “Through our CQMA program, we hope to greatly simplify quality reporting and alleviate physician burdens.”
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