MARINA DEL REY, Calif. & LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM), a leading health and well-being company, today announced it has collaborated with Heritage Provider Network (HPN), one of the nation’s most experienced and effective physician-led value-based care organizations, on a value-based agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare Advantage members in Southern and Central California achieve better health.
Humana’s Medicare Advantage HMO plan members in Kern, Los Angeles, Orange, Riverside, San Bernardino, and Ventura counties, as well as Dual Eligible Special Needs Plan (for patients qualifying for both Medicare and Medicaid) members in Kern and Ventura counties, will have in-network access to HPN’s vast number of physicians and facilities throughout Southern and Central California.
The agreement with HPN is part of Humana’s longstanding commitment to value-based care, which emphasizes:
- More personal time with health professionals and personalized care that is tailored to each person’s unique health situation;
- Access to proactive health screenings and programs that are focused on preventing illness;
- Improved care for people living with chronic conditions with a focus on avoiding health complications;
- Leveraging technologies, such as data analytics, that connect physicians and help them work as a team to coordinate care around the patient; and
- Reimbursement to physicians linked to the health outcomes of their patients rather than based solely on the quantity of services they provide (fee-for-service). (Watch video of Humana and AAFP’s Value-Based Payment Study Congressional Briefing).
HPN is one of the largest, physician-owned and operated integrated delivery systems in the United States with more than 50 related healthcare companies encompassing numerous hospital, pharmacy, urgent and primary care and surgical center collaborations. HPN, and its affiliates, have more than 3,600 primary care physicians and 10,000 specialists to provide coordinated, patient-doctor centric, integrated health care systems that represent the future of healthcare in the United States. HPN brings a 40-year successful track record of coordinated, managed care – a proven clinical and business model to improve healthcare outcomes – to its relationship with Humana.
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HPN’s physician practices in Southern and Central California include: |
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Under this new agreement, Heritage Provider Network’s physicians will also benefit by having access to new tools, real-time data and care support offered by Humana, which will maximize the time HPN physicians spent with their patients covered by Humana Medicare Advantage.
“Working with Humana brings together two highly respected, experienced organizations committed to providing better care, better health and lower costs,” said Dr. Richard Merkin, President and CEO of HPN. “We will be able to coordinate care needs across our entire system and tailor healthcare services proactively that will bring added value to Humana Medicare Advantage members by increasing their access to healthcare services in all of our medical provider groups throughout Southern and Central California, creating a robust care network.”
HPN’s extensive California Medicare Advantage presence will further strengthen Humana’s growth and market share in California, and the two entities look forward to further expansion.
“We are excited to offer our southern California Medicare Advantage members additional access to value-based care through our new relationship with Heritage,” said Rick Beavin, California Medicare President for Humana. “By working together with Heritage, we are able to better serve Humana Medicare Advantage members and offer them high-quality care with the goal of improving their health and well-being.”
Humana has an extensive and growing value-based care presence. As of June 30, 2018, Humana has approximately two million individual Medicare Advantage members and approximately 130,000 Group members who are cared for by more than 52,000 primary care physicians in more than 1,000 value-based relationships across 43 states and Puerto Rico. Humana’s total Medicare Advantage membership is more than 3.5 million members, which includes members affiliated with providers in value-based and standard Medicare Advantage settings. For more information, visit humana.com/provider/support/vbc.
About HPN
Heritage Provider Network, Inc. (HPN) is one of the most experienced physician organization leaders of accountable care and continuous value-based healthcare delivery improvements. Developing and managing coordinated, patient-doctor centric, integrated health care systems that offers some of the strongest solutions for the future of health, care and cost in the United States. HPN and its affiliates operate in New York, California, Arizona and Missouri providing high quality, cost effective healthcare with over one million patient members and are dedicated to quality, affordable health care, and putting patients' wellness first. (www.heritageprovidernetwork.com)
About Humana
Humana Inc. (NYSE: HUM) is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.
To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective.
More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission filings
- Most recent investor conference presentations
- Quarterly earnings news releases and conference calls
- Calendar of events
- Corporate Governance information
Additional Information:
Humana is a Medicare Advantage HMO organization with a Medicare contract. Humana is also a Coordinated Care Plan with a Medicare contract and a contract with the California Medi-Cal program. Enrollment in any Humana plan depends on contract renewal.
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