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Value-based care: a holistic approach to care

 

Coordinated, value-based care

According to the National Council on Aging, nearly 80% of seniors have two or more chronic conditions.1 Such patients, as well as others with complex conditions and health needs, require care that is cross-disciplinary and coordinated.2

Humana facilitates whole-person healthcare through primary care, behavioral health, pharmacy services, and more. Humana value-based care decreases hospitalizations and improves health outcomes.3

Patients spend more time on average with their primary care physicians, helping providers better understand and treat their needs.4

For healthcare providers, developing relationships with patients allows them to focus on disease prevention and holistic management of chronic diseases.5

Read more about our Value-Based Care in nephrology Issue Brief.

1. National Council on Aging, "Chronic Inequities: Measuring Disease Cost Burden Among Older Adults in the U.S.  A Health and Retirement Study Analysis," Page 5, Figure 2 April 2022. https://ncoa.org/article/the-inequities-in-the-cost-of-chronic-disease-why-it-matters-for-older-adults

2. The Journal for Nurse Practitioners, "Improving Care Coordination of Patients With Chronic Diseases," 2022.

3. Humana, "Value Based Care Report 2023," November 2023. https://docushare-web.apps.external.pioneer.humana.com/Marketing/docushare-app?file=5413213

4. Humana, "Value Based Care Report 2023," November 2023. https://docushare-web.apps.external.pioneer.humana.com/Marketing/docushare-app?file=5413213

5. Humana, "Value Based Care Report 2023," November 2023. https://docushare-web.apps.external.pioneer.humana.com/Marketing/docushare-app?file=5413213

How Humana facilitates clinical care

At CenterWell, a Humana Inc. company, doctors, nurses, specialists, social workers, and mental health professionals collaborate on patient care teams. These patient centers also function as wellness centers where patients can socialize, exercise, take classes, and participate in activities that support their health.

1. Comparison based on a study by American Public Health Association published in January 2021, where the average primary care exam was 18 minutes.

Coordinated care

Coordinating primary care and value-based care solutions can lead to better health outcomes.

Humana provides beneficiaries with access to primary care physicians, specialists, pharmacists, and others. This can include treatment at home, which research indicates may lead to better outcomes.1

Patients at CenterWell, a Humana Inc. company, experience improved health outcomes, including 31% fewer avoidable hospital admissions and 22% fewer emergency department visits.2

1. American Journal of Managed Care, "Value-Based Care Through Postacute Home Health Under CMS PACT Regulations," 2022.

2. Humana and CenterWell data. Contracted health plans during 2021 who were paneled to CenterWell Senior Primary Care for the entire year of 2021, versus contracted health plan members during 2021 that were not paneled to CenterWell Senior Primary Care for the entire year of 2021, were not in an unattributed arrangement and were assigned to a CenterWell Senior Primary Care. Based on claims paid through June 2022. UW Margin, ERVPT, and Acute APT also exclude Careplus and delegated.

 

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