Forbes: Medicare costs drop as Humana shifts doctors to value-based models

Forbes has taken note of Humana’s latest Value-Based Care Report, writing about how the shift from fee-for-service medicine to value-based payments for physicians is reducing costs and improving quality of care for seniors in Medicare Advantage plans.

Read the Forbes article here.

“Medical costs were nearly 16% lower for seniors enrolled in Humana Medicare Advantage plans that paid physicians via value-based models in 2017 compared to costs of those in traditional fee-for service Medicare,” Forbes said, citing the study.

“In the value-based approach, insurers reimburse providers for services plus additional pay if they meet quality measures, control costs and improve health outcomes of their patients. The traditional fee-for-service system pays for the volume of care delivered.”

The article quoted Dr. Laura Trunk, Humana medical director of provider development, who wrote in the report: “While we know that all physicians are committed to patient health, those in value-based care agreements have access to additional resources and capabilities to build the infrastructure they need to expand their reach outside the practice. Focusing on prevention and the whole health of their panel population allows physicians and their care teams to work more strategically to improve the care of their patients, thus keeping them home and out of the hospital and emergency room.”

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