Value-Based Care Benefits Patients and Physicians, New Report Shows
15 Novembro 2023 - 10:42AM
Business Wire
Humana's 10th annual report underscores the
success of value-based care
Value-based care is smarter healthcare that lowers costs and
keeps Medicare Advantage members healthier, according to the tenth
annual Value-Based Care Report released today from Humana Inc.
(NYSE: HUM).
This press release features multimedia. View
the full release here:
https://www.businesswire.com/news/home/20231115915607/en/
The 2023 report shows that Medicare Advantage (MA) patients
receiving care under value-based arrangements spent more time with
their primary care physician and were more likely to receive
preventive care, with fewer hospitalizations. Meanwhile, physicians
working under the value-based model are more empowered and better
positioned to coordinate care while prioritizing outcomes over the
quantity of services.
"The data are clear: Value-based care works," said Dr. Kate
Goodrich, Chief Medical Officer at Humana. "As our report shows,
this smarter healthcare model improves outcomes for Medicare
Advantage members and allows primary care physicians to practice
medicine at the top of their license and develop meaningful
relationships with patients. At Humana, we are proud to lead the
way on value-based care for our Medicare Advantage members, and we
will continue to look for ways to expand this approach into other
lines of business."
The Value-based care model (VBC) reimburses clinicians for the
quality of care they provide with a focus on preventive care and
better patient health outcomes. Clinicians often have smaller
patient panels and more time to spend with patients. They are
enabled by support teams and other resources to help them
coordinate all aspects of care and address their patients’ needs
holistically. This clinical model keeps the focus on ensuring
patients remain healthy at home and minimizing the need for
emergency room visits or hospitalization. In contrast, the
traditional fee-for-service model (FFS) reimburses clinicians based
on the number of individual services provided to a patient.
Clinicians have larger panel sizes with shorter appointments –
often just 10 -15 minutes – with no direct incentive to avoid
hospitalization or the ER (Emergency Room).
For years, Humana has closely studied the efficacy and
implications of the value-based care model to determine the best
care practices for its members. This year marks a decade’s worth of
Humana data, research, analysis, and patient, member and physician
testimonials on VBC and how it compares to other care models.
Based on data from Humana’s report, VBC enables:
- A team-based holistic approach to patient care, quarterbacked
by their physician with greater support from a multi-disciplinary
team including nurses, medical assistants, pharmacists, social
workers, and others.
- Coordination across transitions in care, such as after hospital
discharge, and collaborating closely with patients and their care
team to minimize the risk of ending up back in the hospital.
- Technology and data usage to help catch and eliminate “gaps in
care,” and make sure patients’ needs do not fall through the cracks
or get lost or forgotten.
- More resources and incentives to manage health-related social
needs, such as transportation benefits and community support
programs.
Other key findings from the report:
- Patients receiving health care under value-based care
arrangements grew by 2.3 million over the past decade.
- 2022 showed a record 70% of Individual Medicare Advantage
patients aligned with value-based care providers.
- Value-based care patients were less likely to spend time in the
hospital. There were 30.1% fewer in-patient admissions for
value-based care patients compared with Original Medicare
beneficiaries in 2022.
- Value-based care patients were more likely to receive
preventive care. Specifically, value-based care patients completed
preventive screenings at a 14.6% higher rate than Medicare
Advantage members not in a value-based care arrangement.
- Value-based care arrangements lead to cost savings for
patients. In 2022, Humana Medicare Advantage Value-Based
contractual arrangements saved 23.2% in medical costs compared to
Original Medicare.
- Humana research found that patients cared for by VBC physicians
had significantly lower acute care usage and potentially avoidable
events.
- Humana invests cost savings into more member benefits,
averaging $527 annually for members who see VBC
providers.
Findings were not exclusive to Medicare Advantage. The 2023
report also highlights how value-based care factors intersect with
Medicaid and how these arrangements positively impact patient
outcomes and experience with Medicaid in Florida markets.
“Healthcare organizations are working together more and more,
and now we’re starting to see aligned payment model benefits in
Medicaid,” said George Renaudin, Humana’s President of Medicare and
Medicaid. “We are at the dawn of the next era in value-based care.
As we think about how to continue improving health outcomes for our
members, we will determine ways to apply our successful care models
beyond primary care and Medicare Advantage.”
“Humana continues to lead the way in value-based-care adoption
and advocacy,” added Oraida Roman, Humana’s Senior Vice President
of National Provider Strategies and Operations. “We couldn’t have
done this without our value-based provider partners who take care
of our members in such a way that they continue to be able to put
health first.”
Throughout the last ten years, Humana has consistently found
that value-based care arrangements contribute to better patient
outcomes. Despite this model’s proven cost savings and better
health management and outcomes for patients, members, and
physicians, as shown in Humana’s report, less than half of primary
care physicians in the U.S. reported receiving payments through VBC
arrangements. Humana will share its findings across the industry to
help increase promotion and adoption of a demonstrated improved
approach to healthcare.
Read Humana's Value-Based Care Report in full here.
About Humana
Humana Inc. (NYSE: HUM) is committed to putting health first –
for our teammates, our customers, and our company. Through our
Humana insurance services, and our CenterWell health care services,
we make it easier for the millions of people we serve to achieve
their best health – delivering the care and service they need, when
they need it. These efforts are leading to a better quality of life
for people with Medicare, Medicaid, families, individuals, military
service personnel, and communities at large. Learn more about what
we offer at Humana.com and at CenterWell.com.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20231115915607/en/
Kwame Patterson Humana Corporate Communication E-mail:
kpatterson38@humana.com
Humana (NYSE:HUM)
Gráfico Histórico do Ativo
De Abr 2024 até Mai 2024
Humana (NYSE:HUM)
Gráfico Histórico do Ativo
De Mai 2023 até Mai 2024