Humana Expands Medicare Advantage Value-Based Program Portfolio By Two

Humana expanded its Medicare Advantage value-based program portfolio by announcing the launch of two national programs on September 10, 2020. One is an episode-based model focused on coronary artery bypass grafting (CABG). The other is Humana’s first orthopedic payment program for total shoulder arthroplasty (also known as shoulder replacement).

Humana’s value-based program portfolio now encompasses six specialty-care payment models - includes those for total hip and knee joint replacement surgeries, and spinal fusion procedures – as well as its Maternity Episode-Based model; Oncology Model of Care model; and Hospital Incentive Program for acute care inpatient . . .