Humana Inc. a leading health and well-being company, has announced it has collaborated with Heritage Provider Network (HPN), an 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 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).
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.
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.
Heritage Provider Network, Inc. (HPN) is one of the most experienced physician organization leaders of accountable care and continuous value-based healthcare delivery improvements. first. (www.heritageprovidernetwork.com)
Humana Inc. (NYSE: HUM) is committed to helping millions of medical and specialty members achieve their best health.
To accomplish that, they 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.
