PHILADELPHIA & LOUISVILLE, Ky.–Einstein Healthcare Network and leading health and well-being company Humana Inc. (NYSE: HUM) have entered into a value-based agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare Advantage members achieve their best health.
The new agreement expands upon the parties’ existing network contract, which will continue to provide Humana Medicare Advantage members with access to a wide range of health care services at Einstein Healthcare Network hospitals, outpatient care centers, and physician practices in Philadelphia and Montgomery Counties. The value-based care agreement, in turn, teams Humana with Einstein Healthcare Network’s Accountable Care Organization, Einstein Care Partners, toward enhancing both the patient experience and patient outcomes in the Philadelphia area.
“We consider value-based care programs an important element to payor-provider relationships, as we continue our mission to improve population health outcomes and reduce health disparities,” said Einstein Care Partners Executive Director Chris McTiernan.
“We are pleased to work with Humana on this value-based care initiative, as we share a vision in providing high-quality and cost-effective care for the communities we serve,” said Einstein Care Partners Medical Director for Population Health Shiva Chandrasekaran, M.D.
The value-based care model 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 (watch Humana’s “Better Chronic Management Through Value-Based Care” video);
- 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 solely on the quantity of services they provide (fee-for-service).
“Humana is delighted to expand our ability to offer value-based care to our Medicare Advantage members in and around Philadelphia,” said Humana Regional Medicare Vice President Eric Bohannon. “This agreement further unites us with Einstein Healthcare Network as together we intensify our efforts to provide access to care that improves the well-being of Pennsylvanians.”
Humana has an extensive and growing value-based care presence. As of September 30, 2017, Humana has 1.9 million individual Medicare Advantage members (out of 2.8 million total individual MA members) today and 149,000 commercial members who are cared for by 51,500 primary care providers, in more than 900 value-based relationships across 43 states and Puerto Rico. For more information, visit www.humana.com/valuebasedcare.
About Einstein Healthcare Network
Einstein Healthcare Network is a leading healthcare system with approximately 1,000 licensed beds and 8,500 employees serving the communities of Philadelphia and Montgomery County, Pa. Einstein Medical Center Philadelphia is the largest independent academic medical center in the Philadelphia region annually training over 3,500 health professional students and 400 residents in more than 30 accredited programs. Einstein also provides a comprehensive range of healthcare services through Einstein Medical Center Montgomery, Einstein Medical Center Elkins Park, MossRehab, Willowcrest, patient care centers, and a network of more than 500 primary care physicians and specialists throughout the region. For more information, visit www.einstein.edu or call 1-800-EINSTEIN.
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
Humana is a Medicare Advantage HMO, PPO and PFFS organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. Other providers are available in our network. The provider network may change at any time. Impacted members are notified when necessary.
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