value-based care


Dr. William Shrank

Dr. William Shrank, Humana’s Chief Medical Officer, recently spoke with Modern Healthcare about his goals at the company.

“At Humana, Shrank took on a portfolio that includes expanding population health management, addressing social determinants and integrating clinical operations with some of Humana’s recently acquired assets, including Kindred Healthcare,” the publication wrote. “Shrank recently met with Modern Healthcare’s editorial board to discuss his goals at the large insurer.”

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William Shrank, MD, MSHS

Dr. William Shrank, Humana’s Chief Medical Officer, recently met with HealthExec “to chat about all things integrated care, why ‘social determinants of health’ has become a buzzword and what keeps him up at night.”

“In an increasingly complex world, one major healthcare provider is attempting to bridge the gaps of a fragmented healthcare system,” the publication wrote. “Louisville, Kentucky-based Humana has recently brought on board a new chief medical officer, William Shrank, MD, MSHS, to advance the healthcare company’s clinical strategy and lead the industry as a champion of integrated care.”

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Humana was honored to be asked to participate in the 2019 International Consortium for Health Outcomes Measurement (ICHOM) in the Netherlands. With 1,200 healthcare leaders from across the globe, we were happy to participate as a healthcare company moving those we serve into better outcomes at lower costs by associating with physicians in successful value-based models of care.  

Roy Beveridge, MD, former Humana Chief Medical Officer and current advisor, moderated a panel of experts on the topic of Examples of Value Based Payment Models. More than 200 healthcare leaders attended to hear real-life examples from organizations at the beginning of the VBC journey and others who are farther along. Panelists included Ward Bijlsma, Mengis; Lili Brillstein, Blue Cross Blue Shield; Jeroen van der Wolk, Zilveren Kruis; Erik van Raaij, Erasmus University; and Eva de Boer, Erasmus University. The audience was very engaged, and the discussion was informative.

Dr. Beveridge also participated on a signature panel of thought leaders on the topics of Value Based Health Care. This panel was presented for all 1,200 conference attendees and was moderated by Herb Riband, Stanford University. Panelists included: Pall Jonsson, The National Institute for Health and Care Excellence; Nathalie Moll, European Federation of Pharmaceutical Industries and Associations; and Jan Kimpen, Philips.

One conference attendee called Humana “one of the most advanced insurance companies in the U.S.” based on our value-based care and social determinants work. Dr. Beveridge shared many insights, one of which was, “fee-for-service models are inherently wasteful and inhibit innovation; and most importantly, they don’t produce the best outcomes for patients. We have to push the boundaries and think of healthcare really differently. In some U.S. states, we have been working in value-based care models for 20 years; in others, we’re just getting started.”

Finally, on Friday, ICHOM and Humana will co-host a thought-leadership breakfast for a select group of 30 conference attendees to share thoughts on the importance of having a global population measure and propose that the CDC’s Healthy Days tool may be a good option. It’s a self-report measure that is critical in understanding the patient experience and while simple, is correlated with health outcomes. Highlights from this thought-leadership conversation will be captured as a white paper or issue brief for publication.

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Dr. Roy Beveridge, Humana’s chief medical officer, writes in Managed Healthcare Executive that “value-based care is proving its worth to both physicians and patients alike through improved care, greater reimbursement levels, and lower cost—delivering on the promise of the right care at the right time at the right cost.”

He notes that physicians in value-based arrangements can expect lower healthcare costs, more shared savings, and a higher percent of the overall healthcare dollar compared to the national average.

Read the full article here, and learn more from Humana’s latest Value-Based Care Report here.

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Humana’s value-based care report has shown how physician practices in value-based agreements are increasing preventive care, improving health outcomes and quality measures, and lowering overall health care costs for Humana Medicare Advantage (MA) members.

This video features a panel discussion of care professionals discussing the report.

Written by physicians, the report details the clinical and economic impact of integrated care delivery, examining patient care and the experience of physicians. The report, which can be accessed here, also details physician progress controlling blood sugar, blood pressure and medication adherence for people with diabetes.

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