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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:
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.