Here are seven things to know:
1. Compared to traditional fee-for-service Medicare, total healthcare costs were 15 percent lower under Humana value-based care plans.
2. Humana’s value-based agreements yielded 4 percent lower total healthcare costs than Humana standard Medicare Advantage settings.
3. Humana found several superior outcomes under its value-based agreements, including
• 7 percent fewer emergency department visits
• 6 percent fewer hospital inpatient admissions
• 7 percent increase in controlling blood sugars
• 7 percent increase in diabetes care/controlling blood sugar
• 2 percent increase in medication adherence
4. The company’s value-based agreements led to a 13 percent increase in colorectal cancer screenings and 8 percent increase in breast cancer screenings.
5. The study found physicians in value-based agreements from 2014 to 2016 had a Healthcare Effectiveness Data and Information Set score of 4.36.
6. Physicians in a FFS agreement had a HEDIS score of 3.44 at the end of 2016.
7. Physicians that transitioned from a FFS agreement to a value-based care agreement in 2015 yielded an overall HEDIS score of 4.31 at the end of 2016.
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