By-the-numbers: Highlights from Humana’s 12th annual VBC report

Humana’s 12th annual value-based care (VBC) report underscores the importance of a VBC framework.

VBC leads to improvements in:

Here’s a snapshot of key data points from the latest report.

71^%

of Humana Medicare Advantage (MA) members are aligned with VBC providers

75^%

of Humana’s MA urban population is aligned with VBC primary care providers (PCPs)

54^%

of Humana’s MA rural population is aligned with VBC PCPs—up 19% from 2020

85^%

of MA VBC patients saw their PCP at least once in 2024 vs. 74% of MA non-VBC patients

24.3^%

fewer inpatient admissions for VBC patients vs. Original Medicare

arrow right 229K admissions saved

13.4^%

fewer ER visits for VBC patients compared with non-VBC MA members

arrow right 204K+ ER visits saved

MA members with chronic disease—especially those managing multiple conditions—are better supported in VBC arrangements:

More eye exam screenings and kidney health evaluations for diabetes patients

Improved use of statin therapy for patients with cardiovascular disease

Higher medication adherence rates for hypertension and diabetes medication

Patients:

The Net Promoter Score for VBC-aligned MA members is 13 points higher than for non-VBC aligned members.

Providers:

VBC practices earn 2x more on average over the Medicare fee schedule.

Plan sponsors:

Approx. $12.8 billion is saved by Humana MA value-based arrangements—that’s a 26.3% reduction in medical costs over Original Medicare.

Patients of senior-focused VBC providers have better primary care access than non-VBC patients:

Source:

Kaylyn Swankoski et al., “Improving Primary Care Use by Seniors Through Value-Based Care,” NEJM Catalyst, September 17, 2025, accessed February 27, 2026.

To learn more, visit Humana Group Medicare