Humana Inc announces the newest agreements signed with orthopedic specialty groups to offer its bundled payment model for Humana Medicare Advantage members undergoing total hip or knee replacement procedures.
Through these additional agreements, the Total Joint Replacement Episode-Based Model now is offered in more than one-third of the country—including, reportedly for the first time, in the Southwest and Northeast.
Humana’s newest agreements include those with The CORE Institute in Arizona; Coastal Orthopaedics and Sports Medicine in Florida; Physicians’ Clinic of Iowa in Iowa; Baton Rouge Orthopaedic Clinic, Lafayette General Orthopaedic Hospital, LMG LLC, and Musculoskeletal Institute of Louisiana in Louisiana; Syracuse Orthopedic Specialists in New York; Christ Hospital Orthopedic Associates LLC in Ohio; Texas Orthopedics, Sports & Rehabilitation Associates in Texas; Carilion Clinic in Virginia; and Bellin Health Partners, Inc. and Orthopaedic Associates of Wisconsin in Wisconsin.
The agreements in Arizona, Iowa, Missouri, New York, and Wisconsin are the first in those states; the model is now available at more than 50 medical practices in 18 states across America, according to Humana Inc in a media release.
Initially launched in 2016 with orthopedic groups in Ohio and Tennessee, the Total Joint Replacement Episode-Based Model was expanded in 2017 into Indiana, Kentucky, North Carolina, and Virginia; and to Alabama, Florida, Georgia, Illinois, Louisiana, Mississippi, and Texas earlier this year.
The orthopedic specialty-care model is designed to improve quality, outcomes, and costs across a member’s entire joint replacement episode of care, and it offers the opportunity for additional payment for better outcomes.
“We’re delighted to collaborate with these orthopedic groups and provide support for them as we work together to drive innovation in health care delivery,” says Brent Stice, director of Humana’s Value-Based Strategies Organization, in the release.
For more information, visit Humana Inc.
[Source(s): Humana Inc, Business Wire]