In its report of 2015 results, Humana compared quality metrics and outcomes for 1.2 million Medicare Advantage policyholders affiliated with providers operating under a value-based reimbursement model to 170,000 members affiliated with standard Medicare Advantage settings.
Here are three report findings.
1. Humana saw a 20 percent decrease in costs last year for members served by providers in value-based reimbursement models as opposed to fee-for-service settings.
2. Providers operating under Humana value-based reimbursement models had 19 percent higher Healthcare Effectiveness Data and Information Set scores than providers operating under standard Medicare Advantage settings.
3. Policyholders served by providers in value-based reimbursement models visited the emergency department 6 percent fewer times than members in standard Medicare Advantage fee-for-service settings.
More articles about payer issues:
Cigna’s Q3 profit dips 16.6%
Maryland co-op needs acquisition approval before selling on ACA marketplace
Minnesota ACA exchange suffers IT mishaps, possible robot callers
