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    Home » Humana Will Pay More for Quality

    Humana Will Pay More for Quality

    June 1, 2018
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    Humana’s health plan soon will reimburse hospitals based on quality improvement and performance metrics, the company recently announced.

    The Hospital Incentive Program became effective Jan. 1, 2018, compensating hospitals based on patient experience, patient safety, and patient outcomes.

    The insurer also will use additional measures, including healthcare-associated infection rates, care coordination, palliative care, and more to assess performance and set reimbursement rates.

    The new plan was endorsed by The Joint Commission’s Brian Enochs, JD, executive vice president for business development and marketing.

    “By incorporating Integrated Care Certification and hospital-based Palliative Care Coordination Certification into its quality metrics, Humana has made a significant commitment to coordination of patient care through its Hospital Incentive Program,” Enochs said in a statement accompanying the plan’s announcement.

    “These key Joint Commission certifications require that participating hospitals engage patients more seamlessly across the entire continuum of care, and we’re pleased to work with Humana to create additional value for the hospitals that achieve them.”

    Humana says the plan will emphasize these elements for acute care hospital:

    • “More personal time with health professionals and personalized care that is tailored to each person’s unique health situation;
    • Access to proactive health screenings and programs that are focused on preventing illness;
    • Improved care for people living with chronic conditions with a focus on avoiding health complications;
    • Leveraging technologies, such as data analytics, that connect physicians and help them work as a team to coordinate care around the patient; and
    • Reimbursement to physicians linked to the health outcomes of their patients rather than solely on the quantity of services they provide.”

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    Hospital Peer Review

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    Hospital Peer Review (Vol. 43, No. 6) - June 2018
    June 1, 2018

    Table Of Contents

    Different Approach to Falls Improves Patient Safety

    Post-Fall Huddles Reveal Good and Bad

    CAPTURE Focuses on Coordination, Gait Support

    Critics Say Single-payer Healthcare Could Lower Quality of Care

    Health System Improves Patient Satisfaction and Experience

    Health System Applies Lessons From Population Health

    CMS Proposes Reduction in Quality Metrics

    Study Finds Palliative Care Reduces Hospital Stays, Saves Money

    First Week Readmissions More Preventable, Study Says

    Humana Will Pay More for Quality

    Popular Tools Being Discontinued

    Begin Test

    Buy this Issue

    Financial Disclosure: Author Greg Freeman, Editor Jesse Saffron, Editor Jill Drachenberg, Nurse Planner Jill Winkler, Editorial Group Manager Terrey L. Hatcher, and Consulting Editor Patrice Spath report no consultant, stockholder, speaker’s bureau, research, or other financial relationships with companies having ties to this field of study.

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