Medicare is facing unprecedented cost and care challenges, and national policy experts have recommended myriad ways to make the program more sustainable. Those recommendations have included networks of contracted providers, integrated delivery systems, case management, new approaches to payment and delivery of services, and fee schedules that promote primary care.
But Humana’s Medicare Advantage (MA) plans are already doing those things.
According to the National Council on Aging, 73% of seniors have more than one chronic condition, and almost a third have mental or cognitive impairments. But Original Medicare is not a health program, it simply pays claims and monitors for fraud. In contrast, Humana’s Medicare Advantage plans make it easier for people to achieve their best health.
These things make a difference to our members in health and quality of life. Humana data shows:
|Acute hospital admissions||↓ 36%|
|Emergency room visits||↓ 19%|
|Hospital readmissions||↓ 60%|
|Medical cost||↓ 28% (Per member per month)|
Source: Humana at Home, April 2013
Medicare Advantage provides a better alternative to the traditional, fee-for-service part of Medicare in several key ways. Recent national, peer-reviewed studies of people with Medicare Advantage demonstrate the higher quality and value that MA plans bring to the healthcare system:
Because Humana’s integrated care model depends on strong primary care doctor-patient relationships, we have been expanding our primary care footprint. We support primary care “medical homes” in 16 states and more than 900 accountable care provider organization relationships across 40 states and Puerto Rico.
We continue to invest in wholly owned primary care clinics as well as joint ventures with physician partners, including multi-specialty centers focusing on senior populations in medically underserved areas. These centers take a holistic approach to health, with primary care doctors and specialists under one roof. Many have extended hours, offer transportation to and from the facilities, and fill prescriptions on site. The goal is to make it easy for people with Medicare to be as healthy as they can be, removing known barriers such as a lack of local access to care.
To read Humana’s policy about Medicare Advantage, check out this page.
February 6, 2015
The Coalition for Medicare Choices calls on the Obama administration to avoid implementing fee reductions on Medicare private plans.
February 2, 2015
President Obama’s budget blueprint aims to reduce the projected growth of federal payments to Medicare Advantage plans by $43 billion over 10 years.
January 21, 2015
Insurance companies have built momentum in a Medicare star rating program established by the healthcare reform law.
January 17, 2015
A new study finds the majority of people signing up for Medicare Advantage plans in recent years had switched out of traditional Medicare.