Infographic: Value-Based Models’ Impact on Humana’s Medicare Members

Wednesday, November 25th, 2015
This post was written by Melanie Matthews

Members treated under the care of providers in value-based reimbursement models with Humana experienced greater quality than those treated by providers in standard Medicare Advantage settings, according to a new infographic by Humana.

This infographic examines key performance indicators for these Medicare members, including inpatient admissions per thousand, emergency room visits per thousand, assessment rates for vulnerable populations, as well as the impact of these models on HEDIS measures, CMS Star Scores and healthcare costs.

Healthcare’s inevitable shift from volume to value-based reimbursement is reflected not only in Medicare’s alternative payment timeline but also in the waves of commercial payors now evaluating and rewarding providers on the basis of quality of care delivered rather than number of services provided. Adding to its roster of quality-centered payment models, CMS announced in 2015 plans to explore value-based reimbursement for Medicare Advantage and home health.

2015 Healthcare Benchmarks: Value-Based Reimbursement captures the healthcare industry’s reaction to payment formulas for value-added care, and how this shift away from fee-for-service is transforming care delivery and quality.

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