Humana’s 2018 value-based care results
For calendar year 2018, Humana compared quality metrics and prevention measures for its approximately 1.85 million Medicare Advantage members affiliated with healthcare providers in value-based reimbursement model agreements to its approximately 848,000 members who were affiliated with providers under standard Medicare Advantage settings.
Also for 2018, Humana compared medical cost and utilization for approximately 1.63 million Medicare Advantage members who were affiliated with providers in value-based reimbursement models to approximately 855,000 members who were affiliated with providers under standard Medicare Advantage settings as well as to Original fee-for-service Medicare.
Original Medicare costs, admission and emergency room estimates were derived using CMS Limited Data Set Files from 2017 and are subject to restatement with the availability of more current CMS data. As of Sept. 30, 2019, Humana’s total Medicare Advantage (individual and group) membership is more than 4.07 million members.