Humana's Medicare Provider Quality Rewards Program Awards $77 Million to Physicians Across the U.S.

Dear Physicians and Health Care Providers:

At Humana, we pay bonuses to physicians who improve the quality of care for our members. For instance, some 3,700 physician practices in our Quality Rewards Program received bonuses based on quality measures they achieved when treating our Medicare members during the 2014 plan year.

We are proud of our Quality Rewards Program, which is part of our accountable care continuum that promotes evidence-based, high-quality care through a variety of bonus programs.

The focus on improving quality supports more physician practices as they move into value-based relationships, while also improving the member experience. This holistic approach to patient care not only helps physicians and clinicians focus on the total health of their patients, it also reflects the importance of moving from sick care to health care. For more information, call provider relations at 1-800-626-2741 or email providerengagement@humana.com.

Sincerely,

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George A. Andrews, M.D., M.B.A., F.A.C.P., F.A.C.C., F.C.C.P.

* The reward finalization takes place in 2015 for the 2014 Rewards Program, to allow time for final claims submission and supplemental data. The 2014 reward payments to physician practices were based on the practices' ability to improve quality for many National Committee for Quality Assurance (NCQA) preventive and chronic-condition management Healthcare Effectiveness Data and Information Set (HEDIS) measures including, but not limited to, the following:

  • Breast cancer screening
  • Colorectal screening
  • Diabetes treatment management
  • High-risk medications review for the elderly
  • LDL control
  • A1C control