The Hospital Incentive Program, effective January 1, 2018, is for hospitals treating Humana’s commercial enrollees.
According to a press release, Humana’s HIP aims to deliver more integrated care and reduce duplicative services, hospital readmissions, and complication rates in acute care inpatient admissions. The program provides compensation based on quality improvement and performance in three key areas – patient experience, patient safety, and patient outcomes – as determined by a number of measures that address healthcare-associated infection rates, care coordination, palliative care, and more. The metrics incorporate two care certification programs developed by The Joint Commission, the nation’s oldest and largest standards-setting and accrediting body in health care.
Humana is offering the HIP to general acute care hospitals.
Hospitals that participate in the new Humana program will likely only be those who care for a large population of Humana members.
Andrew Wilson, research team leader at the Altarum Center for Value in Health Care, is quoted in Modern Healthcare:
“If (Humana) is a smaller proportion of your patients, what’s the benefit? The investment might not be worth it.”