Intelligence Unit Special Reports Special Events Subscribe Sponsored Departments Follow Us

Twitter Facebook LinkedIn RSS

Humana, FL Physicians Group Bundle Radiation Services

Margaret Dick Tocknell, for HealthLeaders Media, August 15, 2012

Health insurer Humana has contracted with 21st Century Oncology, a large Florida-based physicians group in what is believed to be a first-of-its-kind effort to bundle payments for radiation therapy services used to treat several common cancers. The physicians group will provide a defined set of treatments and procedures for a fixed price.

If successful, the effort could serve as a blueprint to help shift the costs of complex and expensive radiation therapy services from volume-based, fee-for-service charges to evidence-based treatment.

The bundling model already has a foothold in orthopedic procedures and is gaining acceptance in cardiology. Physicians and payers like the model because it can help stabilize revenue streams and payment structures.

Humana's three-year contract with 21st Century, effective Aug. 1, includes much of the national insurer's commercial and Medicare books of business, with the exception of its Medicare HMO business. Fort Myers-based 21st Century includes more than 250 facilities in 16 states and seven countries.

1 | 2 | 3 | 4

Comments are moderated. Please be patient.