Editor’s Note: BHM Healthcare Solutions knows about changes in healthcare. Value-based care strongly encourages system integration between medical, behavioral health, and pharmacy care planning silos. CLICK HERE and schedule time with our Healthcare Experts.

quality payments

Humana has incentivized its provider network to improve the quality of care through value-based care arrangements and quality payments.

As reported by By on

“This year’s payments suggest that physicians who provide care in value-based relationships continue to experience success,” said Chip Howard, Humana’s Vice President of Payment Innovation in the Provider Development Center of Excellence. “Physicians participating in our value-based programs are making significant strides in improving their patients’ health and care experience.”

On November 4th, Modern Healthcare reports Humana’s profit up 43% as Medicare Advantage unit soars. Click the link for Humana’s full financial picture.

The complexity of Humana’s different units, the changes for the ACA, and the feedback from value-based care pushed by CMS creates an ever-changing environment. Determining the positive or negative impact of provider incentives may not be understood for months.

With 4,465 physician groups receiving quality payments from Humana for their efforts in 2015, improved health outcomes for the patient community are becoming a reality countrywide. The providers participating in the quality payment program had to meet key metrics including those of the Healthcare Effectiveness Data and Information Set (HEDIS) scores.

“As the industry continues to shift toward value-based payment, programs such as these are proving that care tied to quality metrics can have a meaningful impact on a patient’s health,” said Dr. Roy Beveridge, Humana’s Chief Medical Officer. “Physicians are benefitting, too, by being paid for the complex care they are delivering.”

BHM Healthcare Solutions knows about changes in healthcare. Value-based care strongly encourages system integration between medical, behavioral health, and pharmacy care planning silos. CLICK HERE and schedule time with our Healthcare Experts.