Industry Bulletins | February 3, 2021
Humana To Launch New ‘Primary Care First’ Value-Based Model
Humana, Inc. is expanding its value-based program portfolio with the upcoming launch of the Primary Care First (PCF) model for certain Humana Medicare Advantage plans in the 48 contiguous states and Washington, D.C. Participation will be open to primary care groups currently in-network for Humana Medicare Advantage Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO) plans and that have more than 125 Humana members aligned to the group. Humana plans to launch the PCF model on July 1, 2021. Each month, the participating PCF primary care professionals will receive a prospective capitated payment, which takes into . . .