A new model of care
Healthcare is rapidly changing as the shift from fee-for-service to value-based care gains momentum. While this shift is a substantial change for many physicians and other healthcare professionals, the move to a value-based model and population health approach is imperative to improve the health of the U.S. population and reduce healthcare costs.
Here's why:
- Americans are getting sicker: Six in ten Americans live with at least one chronic disease1
- Chronic conditions go unmanaged
- 46 percent of people with hypertension don’t have their blood pressure under control2
- 43 percent of people with diagnosed diabetes have poorly controlled blood sugar levels3
- More than 70 percent of people with high cholesterol don’t have it under control4
For physicians, a value-based care model recognizes their commitment to their patients' health and compensates them for the high-quality, complex care they deliver. This model of care combines the practice of proactive population medicine with an aligned payment structure—one that reimburses physicians for care that leads to better health and a better experience for their patients.
Value-based care at Humana means physicians and other healthcare professionals have access to sophisticated tools, capabilities and services designed to make population health management easier.
Humana has an extensive and growing value-based care presence. As of Sept. 30, 2018, Humana has more than 2 million individual Medicare Advantage members and approximately 115,000 commercial members who are cared for by more than 52,000 primary care physicians in more than 1,000 value-based relationships across 43 states and Puerto Rico. Humana’s total Medicare Advantage membership is more than 3.5 million, which includes members affiliated with healthcare providers in value-based and standard Medicare Advantage settings.