Louisville, Ky-based Humana is starting what it calls its Hospital Incentive Program, meant to reduce duplicative services and hospital readmissions..
“Under the program, which is available to hospitals with an active commercial contract with Humana, payments will be made 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.”
“Humana’s program, however, does not come with any financial risk to hospitals, like some Medicare programs do. Under risk-based models, providers could be subjected to financial penalties if they fail to improve outcomes or curb spending. ”
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