Cleveland Clinic Florida, Wellstar Health System among first to join Humana's value-based care program

Humana building
Humana announced its first health system participants in its Hospital Incentive Program intended to reduce duplicative services and hospital readmissions.(Humana)

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.

Conference

2019 Drug Pricing and Reimbursement Stakeholder Summit

Given federal and state pricing requirements arising, press releases from industry leading pharma companies, and the new Drug Transparency Act, it is important to stay ahead of news headlines and anticipated requirements in order to hit company profit targets, maintain value to patients and promote strong, multi-beneficial relationships with manufacturers, providers, payers, and all other stakeholders within the pricing landscape. This conference will provide a platform to encourage a dialogue among such stakeholders in the pricing and reimbursement space so that they can receive a current state of the union regarding regulatory changes while providing actionable insights in anticipation of the future.

RELATED: Humana launches value-based payment program for hospitals

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."

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