Louisville, Ky.-based Humana distributed $77.2 million to U.S. physician groups who participated in Humana’s Provider Quality Rewards Program.
Here are five takeaways:
1. To help providers move to a value-based reimbursement model, Humana has provided physicians reward payments since 2012.
2. By the end of 2017, Humana aims to grow its programs so 75 percent of individual Medicare Advantage members are attributed to primary care physicians who are participating in value-based relationships.
3. Humana granted payments to nearly 3,700 physician groups for their efforts to improve quality care for Humana's Medicare members.
4. Humana rewarded physicians based on their ability to improve care for various National Committee for Quality Assurance preventive and chronic-condition management Healthcare Effectiveness Data and Information Set measures. Some of the measures include:
- Breast cancer screening
- Colorectal cancer screening
- Diabetes treatment management
- LDL control
- A1C control
- High-risk medications
5. Presently, Humana has nearly 1.6 million individual Medicare Advantage and 200,000 commercial members.
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