What value-based care is and why it may matter to your health

(English) As we age, health can become more complex. Many people face not only chronic conditions but also the challenge of navigating a confusing healthcare system. Appointments, prescriptions, referrals, transportation—it can feel like a full-time job.

There’s a different model of care that aims to make things easier, more personal and more effective. It’s called value-based care. And it could help you get the care you need in a way that puts your health and well-being first.

How value-based care is different

In traditional care, doctors are often paid based on how many visits, tests or procedures they perform. This is called fee-for-service. The more services, the more payment.

Value-based care, a program designed by the Centers for Medicare and Medicaid Services (CMS), works differently. It rewards doctors and clinics for helping people improve their health and avoid unnecessary treatments or hospital visits. That means doctors focus more on:

• Preventing illness, not just treating it
• Helping you manage long-term conditions
• Spending time to understand your full picture
• Coordinating with other specialists when needed

The goal is better outcomes, not just more appointments.

Care teams that support you as a whole person

In a value-based care setting, you may not only see your doctor. You might also work with:

• Nurses or care managers who follow up between visits
• Health coaches who help with goals like quitting smoking or losing weight
• Nutritionists who help you eat healthily
• Behavioral health providers who support your emotional well-being

This team approach helps your provider see and support all aspects of your health—physical, emotional and social.

Help for social and daily life challenges

Your health is affected by more than prescriptions. If you’ve ever struggled to get to an appointment or afford healthy food, you know that life circumstances can shape your care.

Value-based providers understand that and connect you with resources. That’s why many of them may offer or coordinate help with:

• Transportation to and from appointments
• Finding affordable, healthy meals
• Connecting with others through classes or community events
• Help with loneliness, caregiving or grief

When your basic needs are met, it’s easier to improve your health.

Consult your health plan’s Summary of Benefits to understand what benefits are covered. Your provider may be able to help you access resources outside your plan benefits.

Better coordination for complex health needs

Many Medicare members live with more than one chronic condition. Whether it’s diabetes, heart disease, arthritis or another challenge, these conditions often require multiple providers and ongoing monitoring.

Your care team helps you manage everything more smoothly. They can:

• Monitor your medications and adjust as needed
• Watch for signs your condition is getting worse
• Work with specialists to keep everyone on the same page
• Help you avoid unnecessary hospital visits

This coordination can reduce stress for you and your family.

Real results from value-based care

Humana’s Value-based Care Report shows that Medicare members in value-based care¹

• Get more preventive screenings like mammograms and blood-pressure checks
• Visit the emergency room less often
• Stick to their medications more consistently
• Have fewer hospital stays
• Save money on medical expenses

These results can add up to better health and a higher quality of life at a lower cost.

What value-based care means for you

This model is about more than checkups and test results. It’s about care that is:

• Focused on your goals and values
• Safe and coordinated across your providers
• Delivered with respect and time to listen
• Adapted to your life circumstances

Whether you’re managing multiple medications, recovering from a procedure or just trying to stay active and independent, your doctor should see and support all of you—not just your chart.

Small changes may lead to a healthier life

Better care can lead to better days. You may have more energy, fewer symptoms and a better outlook. That could mean:

• More time in your garden or workshop
• Easier travel and more adventures
• Joining a community class or faith group
• Seeing your grandchildren grow up

Value-based care isn’t about doing more. It’s about doing what matters—for your health, your life and your future.

You deserve care that works for you

It’s easy to feel like just another number in a large system. But that’s not how healthcare should be.

If you’re unsure whether your current care is the right fit, that’s okay. Learn more about what the right kind of care looks like, and you can always contact us to explore your value-based care options.