A healthcare professional goes over a patient's chart

As policymakers, promoting value-based care (VBC) within your community helps drive implementation and successful outcomes. The key to advocating for VBC is a commitment to prioritizing patient outcomes and population health, while lowering healthcare costs and reducing provider burnout.  

Key policy considerations

Payment reform

Encourage transition from fee-for-service (FFS) to models like accountable care organizations (ACOs), bundled payments and performance-based incentives. 

Technology and quality metrics

Invest in technology and data systems to collect, analyze and report on standardized quality metrics effectively. 

Patient empowerment

Promote patient education programs and provide tools and resources that allow patients to actively participate in their healthcare decisions. 

Collaboration and coordination

Develop integrated care teams and networks that for collaborative, coordinated care to improve job satisfaction and reduces provider burnout. 

Regulatory alignment

Align regulations across different payers and jurisdictions to facilitate the adoption of value-based care practices.

VBC cost-effectiveness 
Humana Medicare Advantage (MA) value-based arrangements saved an estimated $11 billion in 2023, or 25.8%, in medical costs that would have been incurred had the members been enrolled in Original Medicare.

 

The role of MA in supporting VBC

Implementing flexible payment models that reward improved health outcomes rather than just service volume can:    

•  Incentivize providers to offer quality care
•  Demonstrate how MA VBC arrangements lead to better patient outcomes

Reliable funding for MA is crucial because many providers rely on it to participate in VBC models across all payers. When funding is steady, providers can focus on delivering high-quality care. This stability also allows payers to make significant, long-term investments that help providers succeed in VBC.

Looking for data-driven insights? 

Humana’s Health Policy Center

Value-based care trends and news

Studies

MGMA and Humana joint research study: Shifting to VBC amid staffing challenges

Top predictions for the payer industry in 2023

Articles

One solution to genuinely improve health outcomes for seniors

Senior-focused primary care organizations increase access for Medicare Advantage members, especially underserved groups

VBC tools and resources

Humana is committed to providing you with the resources and support you need to succeed in value-based care. 

Innovative reporting platforms

Our Population Insights Compass tool is a centralized reporting platform that enables providers to adopt a holistic view for treating patients. 

Explore Population Insights 

Address access to care

Humana Community Navigator®, our free resource directory, connects patients and providers with financial assistance, food pantries and transportation resources.

Learn about community resources

Improve patient care

Improve your Star practice quality and strategy with tipsheets, screenings and guidelines designed to support your treatment plans.

Access quality resources 

Monthly learning series

Humana education teams host webinars covering topics from annual wellness to care coordination, with opportunities for continuing medical education.

Register for webinars

Readiness assessment tool

Sign in to gain access to our readiness assessment to understand your current value-based care capabilities.

Explore the Population Health Guide

Take the next step toward value-based care

VBC Report

Discover Humana’s insights on VBC implementation, benefits, case studies and the future of VBC.

Read the full report

Connect with us

Connect with Humana to learn more about value-based care.

Contact us

Share feedback

We’re committed to improving your VBC site experience and would love your feedback.

Take our VBC survey