Humana Launches National Hospital Incentive Program to Improve Patient Experience & Health Outcomes for Humana Commercial Gro...
April 25 2018 - 9:00AM
Business Wire
Quality Metrics Include Standards Developed by
The Joint Commission
Leading health and well-being company Humana Inc. (NYSE: HUM) is
announcing the launch of a national, value-based care Hospital
Incentive Program (HIP) designed to provide higher-quality, more
coordinated care for Humana commercial members.
Humana’s HIP aims to deliver more integrated care and reduce
duplicative services, hospital readmissions, and complication rates
in acute care inpatient admissions. The program provides
compensation based on quality improvement and performance in three
key areas - patient experience, patient safety, and patient
outcomes – as determined by a number of measures that address
healthcare-associated infection rates, care coordination,
palliative care, and more. The metrics incorporate two care
certification programs developed by The Joint Commission, the
nation’s oldest and largest standards-setting and accrediting body
in health care.
“By incorporating Integrated Care Certification and
hospital-based Palliative Care Coordination Certification into its
quality metrics, Humana has made a significant commitment to
coordination of patient care through its Hospital Incentive
Program,” said The Joint Commission’s Brian Enochs, J.D., Executive
Vice President, Business Development and Marketing. “These key
Joint Commission certifications require that participating
hospitals engage patients more seamlessly across the entire
continuum of care, and we’re pleased to work with Humana to create
additional value for the hospitals that achieve them.”
“We’re excited to launch our value-based care initiative for
hospitals, utilizing several quality standards that include
certifications developed by The Joint Commission,” said Caraline
Coats, Vice President of Humana’s Provider Development Center of
Excellence. “This program expands Humana’s reach in value-based
care as we broaden our efforts to provide a better experience for
our members and help them achieve their best health.”
Humana is offering the HIP to general acute care hospitals. The
program is part of Humana’s longstanding commitment to value-based
care, which emphasizes:
- More personal time with health
professionals and personalized care that is tailored to each
person’s unique health situation;
- Access to proactive health screenings
and programs that are focused on preventing illness;
- Improved care for people living with
chronic conditions with a focus on avoiding health complications
(watch Humana’s “Better Chronic Management Through Value-Based
Care” video);
- Leveraging technologies, such as data
analytics, that connect physicians and help them work as a team to
coordinate care around the patient; and
- Reimbursement to physicians linked to
the health outcomes of their patients rather than solely on the
quantity of services they provide (fee-for-service).
Humana has an extensive and growing value-based care presence.
As of December 31, 2017, Humana has 1.9 million individual Medicare
Advantage members and approximately 140,000 commercial members who
are cared for by 52,000 primary care physicians in more than 1,000
value-based relationships across 43 states and Puerto Rico. Humana
reached its 2017 calendar year goal of having 66 percent of
Humana’s 2.9 million total individual Medicare Advantage members
seeing primary care physicians in value-based payment
relationships. Humana’s total Medicare Advantage membership is
approximately 3.3 million members, which includes members
affiliated with providers in value-based and standard Medicare
Advantage settings. For more information,
visit humana.com/valuebasedcare.
About Humana
Humana Inc. is committed to helping our millions of medical and
specialty members achieve their best health. Our successful history
in care delivery and health plan administration is helping us
create a new kind of integrated care with the power to improve
health and well-being and lower costs. Our efforts are leading to a
better quality of life for people with Medicare, families,
individuals, military service personnel, and communities at
large.
To accomplish that, we support physicians and other health care
professionals as they work to deliver the right care in the right
place for their patients, our members. Our range of clinical
capabilities, resources and tools – such as in-home care,
behavioral health, pharmacy services, data analytics and wellness
solutions – combine to produce a simplified experience that makes
health care easier to navigate and more effective.
More information regarding Humana is available to investors via
the Investor Relations page of the company’s web site at
www.humana.com, including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission
filings
- Most recent investor conference
presentations
- Quarterly earnings news releases and
conference calls
- Calendar of events
- Corporate Governance information
View source
version on businesswire.com: https://www.businesswire.com/news/home/20180425005867/en/
Humana Corporate CommunicationsAlissa Krinsky,
312-441-5576akrinsky@humana.com
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