Physicians who practice value-based care are achieving higher rates of patient engagement in preventive screenings, medication adherence and management of chronic conditions as measured by HEDIS. In fact, value-based physicians had 26% higher overall HEDIS scores compared to fee-for-service physicians.5
HEDIS is a measurement tool used to assess American health plans’ performance on various dimensions of care and service. HEDIS consists of 81 measures across five domains of care. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an apples-to-apples basis.
3-YEAR HEDIS TRENDS
The Humana members analyzed were continuously enrolled in Medicare Advantage plans for three years and were affiliated with practices in the same payment agreement for all 12 months of each year.
NET PROMOTER SCORE
Value-based physicians scored 11 points higher for engagement and satisfaction with Humana.6
5 Healthcare Effectiveness Data and Information Set (HEDIS) results were from a study of 1.65 million Humana MA members affiliated with physicians in value-based agreements compared to 191,000 Humana MA members affiliated with physicians under standard MA settings.
6 Results were from a total of 581 physician and/or staff interviews.