Moving to value-based care (VBC)
Read Humana’s 2022 Value-based Care Report to learn how value-based care helps strengthen the healthcare system through increased prevention efforts, improved outcomes and an enhanced patient experience.
What value-based care means for providers
Value-based care is a form of reimbursement that ties payments for care delivery to the quality of care provided rather than quantity. This form of reimbursement has emerged as an alternative for fee-for-service.
Humana’s value-based primary care continuum provides programs that offer financial rewards to primary care physicians for improvements in quality, outcomes and costs.
Benefits of a value-based healthcare practice
Better patient engagement
According to Healthcare Effectiveness Data and Information Set (HEDIS), value-based providers screenings were 6-19% higher in 2021.
Higher Stars ratings
A full-Star difference and a 35% difference in the HEDIS average. The combined average Stars ratings for preventive screenings and patient safety: 4.0 for value-based vs. 2.92 for non-value-based.
Agile care model
At the height of COVID-19 disruptions, healthcare providers in value-based agreements reported being able to pivot quickly because of their focus on patient outcomes rather than on volume of services.3
Real-time patient data
Humana contracted value-based physicians use intelligence to proactively address patient needs within the native electronic health record (EHR) workflows, closing gaps and helping patients stay on track with their health.4
What I have found with value-based care is that you really get a chance to focus on prevention and disease management. I feel like I am able to teach my patients ways to prevent illness. This allows the patient to feel like they have control over their health. You can’t get this in a fee-for-service world.
Dr. Stephanie Phillips
CenterWell Primary Care
Dr. Stephanie Phillips
CenterWell Primary Care
Sources
- “Value-Based Care Report,” Humana, last accessed November 1, 2022,
https://www.humana.com/provider/news/value-based-care/value-based-care-report . - “Value-Based Care Report.”
- “Value-Based Care Report.”
- “athenahealth and Humana Collaborate to Improve Healthcare Outcomes for its Members,” athenahealth, last accessed October 21, 2021,
https://www.athenahealth.com/press-releases/athenahealth-and-humana-collaborate-to-improve-healthcare-outcomes-for-its-members .