Humana Inc. (NYSE: HUM) is engaging with physician groups across the country to launch a national, value-based care oncology program designed to provide more integrated cancer care for Humana Medicare Advantage and commercial members.
Humana’s national Oncology Model of Care (OMOC) program aims to improve the patient experience and health outcomes for patients with new or recurrent cancer diagnoses, through provider delivery of coordinated, cost-effective care. Humana offers analytics to support providers, and will provide compensation for enhanced care navigation based on incremental evaluation of quality and cost within several key care components – including inpatient admissions; emergency room visits; medical and pharmacy drugs; laboratory and pathology services; and radiology – as determined by metrics that address access to care, clinical status assessments, and patient education.
“With the field of oncology rapidly evolving, we’re very pleased to announce the launch of a quality-based program specifically focused on the delivery of cancer care,” said Bryan Loy, MD, MBA, Corporate Medical Director of Humana’s Oncology, Laboratory, and Personalized Medicine Strategies Group. “Humana is committed to providing physician support and working together to improve coordination across the continuum of care for our members with cancer.”
The OMOC program’s inaugural practices are: Southern Cancer Center, a practice in The US Oncology Network (Alabama); Arizona Oncology Associates, a practice in The US Oncology Network (Arizona); Highlands Oncology Group* (Arkansas); Cancer Specialists of North Florida** (Florida); Baptist Health Medical Group and St. Elizabeth Healthcare (Kentucky); Ponchartrain Cancer Center and Slidell Memorial Hospital Physicians Network (Louisiana); Michigan Healthcare Professionals (Michigan); Minnesota Oncology, a practice in The US Oncology Network (Minnesota); Comprehensive Cancer Centers of Nevada, a practice in The US Oncology Network*** (Nevada); TriHealth and University of Cincinnati Physicians Company (Ohio); and The Center for Cancer and Blood Disorders, The START Center for Cancer Care, and Texas Oncology, a practice in The US Oncology Network (Texas).
The OMOC program is Humana’s fourth specialty-care payment model, following its episode-based programs for Humana Medicare Advantage members undergoing total hip or knee joint replacement or spinal fusion procedures, and its maternity episode-of-care bundled payment program for Humana commercial plan members.
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