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Bundled Models Down To A Relationship

by Caroline Wall


Article excerpt

Humana exec outlines best practices for bundled payment models

Transitioning from volume-based care to value-based care is not easy, Howard says, as it requires a change in infrastructure and increased reporting to make care more coordinated. To be successful, insurers must form relationships with care providers that revolve around cultivating solutions to questions of quality and cost.

Our take

Can Bundled Payment Partnerships Work?

Humana’s vice president of payment innovation has some ideas about how bundled payment models could be used to achieve win-win solutions to the transition from volume- to value-based care. The transition is not an easy one. It requires collaboration and partnerships between care organizations, providers and payers. Do you have the right foundation in place to establish and/or nurture these relationships?

Reliable data is a must-have to fuel these relationships. Sharing of information that includes readmission rates and complications is foundational to making these relationships work but not all health organizations and insurers are likely to be ready to move to these heightened levels of transparency. Focused initiatives, as outlined in this piece, may provide a good starting point for engagement and learning.