Here are four key points:
1. Through the program, Humana aims to streamline and standardize the clinical quality metrics that physicians utilize.
2. Humana’s program offers support for physicians currently participating in value-based payment relationships with the payer, as well as lowers the clinical measure requirements for physicians who currently are in a fee-for-service payment model to prepare them for value-based care.
3. To streamline processes, Humana’s program collected 1,116 quality metrics from 29 different data sources across the company. Then, Humana vetted these metrics for duplicates, inconsistencies as well as clinical relevance. Following the vetting process, Humana consolidated these metrics into 208 quality metrics.
4. Humana’s program follows suit from America’s Health Insurance Plans’ Core Quality Measures, which aims to help payers adopt meaningful and efficient quality measures.
“At Humana, we are committed to helping physicians succeed in their transition from fee-for-service to value-based care,” said Roy Beveridge, MD, chief medical officer, Humana. “Metrics that are not connected to patient health can serve as obstacles in their transition and distract from the intent of care tied to quality. Through our CQMA program, we hope to greatly simplify quality reporting and alleviate physician burdens.”
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