Cleveland Clinic Florida and Georgia-based Wellstar Health System are among the first health systems to join Humana's Hospital Incentive Program (HIP) intended to reduce duplicative services and hospital readmissions.
Under the incentive program, available to hospitals with an active commercial contract with Humana, the Louisville, Kentucky-based insurer will make payments to general acute care hospitals based on how they improve patient experience, safety and outcomes compared to other hospitals in their region or nationally.
Measures in the program for care coordination and palliative care were developed in partnership with The Joint Commission.
Other inaugural participants include Ohio-based TriHealth and Florida-based Jackson Health System.
Roman said the program is in addition to its other value-based reimbursement agreements with primary care physicians as well as its two value-based episode-of-care bundled payment models for orthopedic groups and for maternity care.
"Providers tell us that value-based care is helpful in renewing their focus on patients at the center of care," Roman said. "With regard to why one system might sign up and others might not, it depends on the particular system and its needs and goals at this particular time during this industry transition to value-based care."