Health insurer Humana (NYSE: HUM) recently revealed that 58% of its 2.1 million Medicare Advantage (MA) behavioral health claims had a value-based link.
In a report released earlier this month, the Louisville, Kentucky-based payer and health care provider noted that primary care doctors using a value-based model are more likely to see “physical and mental health intertwined.” They’re also more likely to understand the impacts mental health conditions have on non-adherence and non-compliance.
Humana is a for-profit payer with an annual revenue of $92.8 billion in 2022. The payer covers 8.7 Medicare members in all 50 states, Washington, D.C., and Puerto Rico. Humana reports that 5.1 million of its Medicare members are enrolled in a Medicare Advantage plan.
Humana owns CenterWell Senior Primary Care, which delivers value-based primary care services to seniors. CenterWell is a payer-agnostic health care service offering and includes a pharmacy dispensing service, provider services and home services.
“Our senior-focused primary care model is a holistic approach to healthcare, giving our patients access to a physician, nurse, social worker, pharmacist and behavioral therapist,” Dr. Vivek Garg, chief medical officer for Humana’s primary care organization, said in the report. “Together, our team monitors and addresses factors that may have a major impact on the patient’s health. Preventative care reduces the risk of health issues and empowers patients to improve their health and quality of life.”
Humana noted in its report that more primary care practices using a value-based care arrangement are hiring and partnering with behavioral health specialists. This allows primary care providers to help patients find a qualified clinician in the same location.
Value-based care has been a big focus for Humana. During its Q4 earnings call, the company reported that it closed 2022 with 70% of its individual MA members engaged in value-based arrangements.
“Our extensive experience in value-based care combined with our use of deep analytics and digital capabilities, first-mover deployment of interoperable solutions, as well as our customer-centric products and solutions [sets] Humana apart from peers,” Bruce Broussard, CEO of Humana, said during the call.
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