BETHESDA, Md. & LOUISVILLE, Ky.--(BUSINESS WIRE)--Aledade, Inc. and leading health and well-being company Humana Inc. (NYSE: HUM) today announced an agreement to expand the availability of value-based care for Humana Medicare Advantage members in North Carolina.
The contract, now in effect, enables physicians in Aledade’s Accountable Care Organizations (ACOs) in North Carolina who participate in Humana’s Medicare Advantage network to utilize tools and resources from both organizations to help deliver coordinated, quality care. This agreement builds on an earlier value-based contract between Humana and Aledade in Louisiana, Pennsylvania, and West Virginia.
“Humana shares our strong commitment to helping independent practices thrive in value-based care arrangements that reward them for improving the quality of care and patient health outcomes,” said Patrick Mobley, Executive Director of Aledade’s North Carolina ACOs. “Together, we are empowering North Carolina physicians with support to offer a more personalized, coordinated primary care experience for the patient.”
Aledade partners with independent primary care practices to build and lead ACOs that participate in a variety of value-based care arrangements. These ACOs focus on delivering preventive care, reducing unnecessary or repetitive care, and better coordinating patient care. Aledade supports physicians with a comprehensive range of capabilities that includes data analytics; care management and patient outreach tools; regulatory expertise; and local, hands-on support.
“Humana is pleased to increase access to coordinated care for our North Carolina Medicare Advantage members through this expanded collaboration with Aledade,” said Neil Steffens, Humana Regional President for Medicare in North Carolina. “We’re excited to support these physician practices through shared knowledge and expertise, and strengthen our ability to improve health outcomes and the patient experience.”
The agreement with Aledade 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).
Humana has an extensive and growing value-based care presence. As of Dec. 31, 2019, Humana has more than 2.4 million individual Medicare Advantage members and approximately 115,000 commercial members who are cared for by approximately 62,000 primary care physicians in more than 1,000 value-based relationships across 43 states and Puerto Rico. As of January, 2020, Humana’s total Medicare Advantage membership is approximately 4.4 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 Aledade
Founded in 2014, Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. Through these ACOs, Aledade empowers physicians to stay independent, practice medicine like they’ve always wanted to, and thrive financially by keeping people healthy. Aledade offers a comprehensive range of capabilities that includes cutting-edge data analytics, user-friendly guided workflows, unparalleled regulatory expertise, strong payer relationships, and local, hands-on support from attentive experts. In true alignment with more than 7,300 participating providers in 27 states, Aledade shares in the risk and reward across more than 80 value-based public payer and commercial contracts representing more than 840,000 lives under management. To learn more, visit www.aledade.com or follow on Twitter or Facebook.
About Humana
Humana Inc. 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
Other providers are available in our network. The provider may also contract with other Plans.
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