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Insurer Humana has teamed up with five physician practices across the US to launch a value-based care maternity bundled payment model for Humana commercial group members with low-to-moderate-risk pregnancies.
Humana’s maternity episode-based model is designed to improve quality, outcomes, and cost across a member’s entire perinatal episode of care - involving the mother’s prenatal, labor and delivery, and post-delivery care – and financially incentivizes OB-GYNs who achieve better outcomes.
“Because quality maternity care is important for many of our members and a significant focus of specialty care services in our country, we’re very pleased to launch Humana’s newest specialty-care bundled payment model,” said Caraline Coats, vice president of Humana’s Provider Development Center of Excellence.
“Humana is dedicated to working with OB-GYNs across the country to provide a better patient experience and improve patient outcomes, while also tackling the cost challenges inherent in perinatal care.”
The maternity payment model is Humana’s second specialty-care payment model, following its total joint replacement episode-based model for Humana Medicare Advantage members undergoing total hip or knee joint replacement procedures. Since its launch in 2016, that program has expanded its footprint and is now offered at approximately 40 orthopedic groups in 13 states across America.
Humana, bundled payment, Caraline Coats, US
