Relationship will help create healthier communities, improve quality
and reduce costs of health care services
DENVER & LOUISVILLE, Ky. -- (Business Wire)
Humana Medicare Advantage members in Colorado now have access to a new
health care model known as value-based care, thanks to a relationship
between population health leader FullWell
and health and well-being leader Humana
Inc. (NYSE: HUM). The arrangement is designed to offer a more
proactive and wellness-focused health care experience and financially
reward doctors for high quality care.
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This value-based agreement unites FullWell and Humana around the common
goal of improving the health of the Humana Medicare members served in
FullWell’s Colorado Health Neighborhoods Network member practices.
Humana Medicare Advantage members will have access to more than 150
FullWell primary care providers in the Denver metro area.
In 2015, on average, Humana
Medicare Advantage members served by providers under value-based
care experienced: 6 percent fewer ER visits, higher screening rates,
including those for colorectal cancer (+8 percent) and breast cancer (+6
percent), and healthier outcomes versus members who were treated by
providers in standard Medicare Advantage settings.
“FullWell’s mission and vision is to enable physicians to succeed in the
transition to value-based health care. In a time of change, uncertainty,
and increasing administrative burden, FullWell provides population
health capabilities that help providers offer high quality, affordable
care to their patients and transform their practices,” said Dr. Creagh
Milford, FullWell’s Chief Executive Officer.
Value-based care represents a significant shift from the historic model
of health care known as fee-for-service, which focuses on the costly
treatment of sickness instead of disease prevention and keeping people
in good health. In
the fee-for-service model, physicians are paid and incentivized
based on volume (number of services they perform), not improved health
outcomes for the patient. By contrast, transitioning to value-based
payment models will ensure that physicians are reimbursed for the health
outcomes of the patients they serve, not the number of services they
provide. By focusing on quality and health, Humana experienced 20
percent lower costs in total in 2015 for members who were treated by
providers in a value-based reimbursement model setting versus an
estimation of original fee-for-service Medicare costs using CMS Limited
Data Set Files.
“Our new agreement with FullWell is bolstering the future of health care
right here to Colorado. We are proud to support FullWell in building
upon what is already a well-integrated care delivery system by providing
Humana’s care management support to the relationship,” said Mark Iorio,
Central West Region Medicare President for Humana. “FullWell’s care
teams are focused on coordinating care around each patient’s unique
health needs. By working with Humana, we are helping to strengthen
FullWell’s team-based approach to care delivery, providing useful
information, incentives, and resources to help those teams operate at
their very best.”
For doctors thinking about entering into a value-based care agreement, many
cite not having adequate resources and support as key barriers to
adopting this new model. By working with Humana and FullWell, providers
have access to a number of different services to help support their
transition to value-based care.
As part of the agreement, FullWell and Humana will develop strategies to
improve the health of Humana’s Medicare Advantage members in Colorado,
lower costs, and manage the ongoing health needs of the population.
Participating practices will utilize FullWell and Humana population
health management tools to help identify gaps in care, manage medication
adherence, follow up on patients needing PCP visits, and identify high
ER utilizers and at-risk patients so they can receive the right care
before requiring serious medical attention. Patients will also benefit
from wellness programs, as well as screening and monitoring for chronic
conditions such as diabetes and heart disease.
As of Sept. 30, 2016, Humana has 1.8 million individual Medicare
Advantage members and 200,000 commercial members who are cared for by
49,600 primary care providers, in more than 900 value-based
relationships across 43 states and Puerto Rico.
As of Sept. 30, 2016, approximately 63 percent of Humana individual
Medicare Advantage members are in value-based payment relationships.
Humana’s goal is to have 75 percent of individual Medicare Advantage
members in value-based payment models by the end of 2017. For more
information, visit humana.com/accountable-care
or www.humana.com/valuebasedcare.
About FullWell
FullWell, located in Centennial, Co., is a collaborative,
physician-centric organization bringing population health management
tools, resources and competencies to the Colorado Health Neighborhoods
network of providers. FullWell believes in approaching healthcare
differently. We inspire and empower care teams to deliver the highest
quality, highest value care to people in our communities. We believe in
helping all people live their fullest lives. More information regarding
FullWell can be found on our website at www.fullwell.com.
About Humana
Humana Inc., headquartered in Louisville, Ky., is a leading health and
well-being company focused on making it easy for people to achieve their
best health with clinical excellence through coordinated care. The
company’s strategy integrates care delivery, the member experience, and
clinical and consumer insights to encourage engagement, behavior change,
proactive clinical outreach and wellness for the millions of people we
serve across the country.
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
-
Calendar of events
-
Corporate Governance information.
Additional Information:
Humana is a Medicare Advantage HMO and PPO organization with a Medicare
contract. Enrollment in any Humana plan depends on contract renewal.
Other Physicians/Providers are available in our network.
Humana Inc. and its subsidiaries (“Humana”) do not discriminate on the
basis of race, color, national origin, age, disability, or sex.
English: ATTENTION: If you do not speak English, language assistance
services, free of charge, are available to you. Call 1-800-552-0751
(TTY: 711).
Español (Spanish): ATENCIÓN: Si habla español, tiene a
su disposición servicios gratuitos de asistencia lingüística. Llame al
1-855-845-7639 (TTY: 711).
繁體中文 (Chinese):
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-800-552-0751 (TTY:711).
Y0040_COHJTXDEN Accepted
View source version on businesswire.com: http://www.businesswire.com/news/home/20161207005896/en/
Contacts:
Humana Corporate Communications
Marina Renneke, 602-760-1758
mrenneke@humana.com
or
FullWell
Christine
Rhodes, 303-643-1414
christinerhodes@fullwell.com
Source: Humana Inc.
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