Value-based care is a smarter healthcare delivery model that emphasizes patient outcomes rather than the volume of services provided. Unlike traditional fee-for-service models, which primarily rewards providers based on the quantity of services rendered, VBC incentivizes clinicians to improve the overall health of their patients by focusing on preventive care, effective management of chronic conditions, and maintaining long-term wellness.
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Humana facilitates high-quality care through the value-based care (VBC) model, a smarter healthcare delivery system that focuses on proactive, preventive care to address issues early and improve long-term health outcomes. Instead of reacting to illnesses, VBC emphasizes prevention, communication, and trust to keep patients healthier and avoid costly treatments. In a VBC system, clinicians and their support teams build meaningful relationships with their patients to understand their needs and deliver personalized care.
VBC shifts the focus of healthcare from volume to outcomes, compensating clinicians for improving patient health. Unlike traditional fee-for-service (FFS) models, which emphasize seeing more patients and ordering more services, VBC prioritizes prevention, chronic care management, and keeping patients healthy. This approach allows physicians to spend more time with their patients and holistically see their care needs, which not only improves patient outcomes but also reduces costs and enhances the overall healthcare experience.
In VBC, patients have fewer unnecessary hospital admissions and emergency department visits, and providers are often able to proactively address health issues before they escalate to the need for acute care.
Humana MA value-based arrangements save an estimated $12.8 billion in 2024, or 26.3% in medical costs that would have been incurred had the members been enrolled in Original Medicare. Humana invests these savings into more member benefits, like lower premiums, home care, prescription delivery and healthy food cards.