Humana partnering with Ky., Ind., orthopedic groups to improve surgery outcomes
April 21, 2017 | Humana announced this week that it will partner with orthopedic specialty groups in Kentucky and Indiana to improve outcomes and costs for hip and knee replacements.

According to a press release, Louisville-based Humana Inc. (NYSE: HUM) will partner with eight orthopedic groups to implement a value-based care model — rather than a fee-for-services model — for Humana Medicare Advantage members getting total hip or knee replacements.

In Kentucky, Humana will work with Commonwealth Orthopedic Centers P.S.C;
Kentucky Bone and Joint Surgeons LLC; and Norton Orthopedic Specialists.

In Indiana, Humana will work with Fort Wayne Orthopedics LLC; Ortho NorthEast P.C.; Orthopaedic Associates Inc.; Tri-State Orthopaedics Surgeons LLC; and Unity Healthcare LLC.

Humana said in the release that it will give the providers "robust data and analytics" to better manage the entire care, starting with the diagnosis and going through recovery. The new care model — called Total Joint Replacement Episode-Based Model — will help better coordinate care and reduce the rates of complication after a joint replacement procedure.

The release also said that Humana will help providers implement chronic disease-management and wellness programs to help integrate care.

In 2015, the release said, Humana saw a 20 percent reduction in cost for members who were treated by care providers that operated in a value-based reimbursement model, which focuses on paying for better care outcomes rather than focusing on just cost of procedures. The goal according to the release is to "improve outcomes, lower cost and deliver a better health care," according to the release

Humana is moving to apply more value-based care models to other specialties. It partnered with 12 orthopedic groups in Ohio and Tennessee to implement the same value-based care model in 2016.

According to the release, Humana had 1.8 million Medicare Advantage members and 200,000 commercial members as of Dec. 21, 2016.