Humana released its annual value-based care report detailing how tying payment to performance outcomes affected Medicare Advantage patients and their providers.
The physician-written report, titled “The Intersection of Health + Care,” considers quality metrics and prevention measures for 2017. About 1.74 million Medicare Advantage members who see physicians under value-based reimbursement models were included in the survey. Their data was compared to about 130,000 members affiliated with providers paid under fee-for-service Medicare Advantage models.
“Results show that patients affiliated with physicians in Humana MA value-based agreements had more favorable outcomes in all Healthcare Effectiveness Data and Information Set Star measures,” Kathryn Lueken, MD, Humana’s corporate medical director for medical market clinical integration, wrote in the report. HEDIS, created by the National Committee for Quality Assurance, measures how health plans perform across various metrics.
Here are five findings from the report: