Humana Bundles Spinal Fusion Payment, Expands Total Joint Replacement Plans

Humana Inc. (NYSE: HUM) is announcing two key milestones as it expands value-based orthopedic specialty care for Humana Medicare Advantage members, launching a bundled payment model for spinal fusion surgeries, and broadening the reach of its Total Joint Replacement Episode-Based Model for total hip or knee joint replacement procedures. Humana Launches Spinal Fusion Episode-Based Model, Announces First Program Participants Humana is teaming up with orthopedic and neurosurgery practices to launch a value-based care bundled payment initiative designed specifically to provide coordinated care for Humana Medicare Advantage members undergoing spinal fusion surgery.

The Spinal Fusion Episode-Based Model (EBM) offers the opportunity for additional payment to physicians and clinicians for improved health outcomes and cost across a member’s entire spinal surgery episode-of-care. Improvement is measured based on three clinical indication rates – readmissions, cervical complications, and lumbar complications – as well as by average risk-adjusted episodic cost-of-care.

The program’s inaugural participants are Fort Wayne Orthopedics and Ortho NorthEast(Indiana), Mayfield Brain & Spine (Ohio), and OrthoVirginia (Virginia).

Through eight additional agreements with orthopedic specialty groups across the nation, the program now is offered at more than 60 medical practices in 19 states.

https://www.marketscreener.com/HUMANA-13000/news/Humana-Announces-Two-Milestones-in-Value-Based-Orthopedic-Specialty-Care-Launching-Bundled-Payment-28235513/