PORTLAND – Oct. 28, 2015 – Healthcare Resources NW (HRNW) and Humana Inc. (NYSE: HUM), one of the country’s leading health and well-being companies, today announced an expansion of their accountable care agreement to include Oregon Health & Science University (OHSU).
The inclusion of OHSU in Humana and HRNW’s accountable care agreement gives Humana’s Medicare Advantage members access to OHSU Hospital and more than 1,000 physicians. OHSU is Oregon’s only academic health center and recently joined HRNW’s network of health care professionals and providers.
Humana’s existing agreement with HRNW is part of the company’s pay-for-value programs that promote evidence-based, high-quality care with a focus on physician support for successful population health management. The pay-for-value model is designed to improve cost, quality and the patient experience.
The Humana-HRNW accountable care agreement includes value-based incentives tied to performance improvement and supports successful population health management and a world-class patient experience for Humana members in Oregon. The arrangement offers more personalized care and a broad range of population health tools such as Humana’s predictive analytics, chronic care, disease management and wellness programs.
“Humana is excited to expand our relationship with HRNW to offer value based-health care to our Medicare Advantage members who want to seek care at OHSU, a top academic health facility,” said Catherine Field, Intermountain Vice President for Senior Products at Humana. “This expanded accountable care partnership will continue to foster high-quality health care, reduce costs and provide a more patient-centric health care system for our members in Oregon.”
Through its accountable care partnerships, Humana gathers actionable patient data to inform individual care plans and develop best practices in patient care. Value-based incentive arrangements emphasize quality outcomes and leverage standard measures as defined by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) such as breast cancer screening, colorectal screening, comprehensive diabetes care, and high-risk medications.
Humana has nearly 30 years of accountable care experience. In data released in 2014, Humana members in accountable care relationships experienced fewer emergency room visits and hospital admissions, and improved clinical and management screening compliance for conditions such as diabetes and cardiovascular disease.
Today, Humana has approximately 1.5 million individual Medicare Advantage and 200,000 commercial members, cared for by approximately 43,000 primary care physicians in more than 900 accountable care relationships across 43 states and Puerto Rico. For more information, visit humana.com/accountable-care.
About Healthcare Resources NW
Organized in 1995, Healthcare Resources NW (HRNW) is a nonprofit organization that consists of a broad system of healthcare professionals and providers who have developed an integrated approach to contracting relationships and the effective delivery of best-practice healthcare services.
HRNW is dedicated to providing a seamless path of care, which is quality driven and cost effective. We believe this approach generates greater continuity of care and satisfaction among our patients and our physicians, as well as a more value-added collaborative relationship with our payors.
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 atwww.humana.com, including copies of:
- · Annual reports to stockholders;
- · Securities and Exchange Commission filings;
- · Most recent investor conference presentations;
- · Quarterly earnings news releases;
- · Replays of most recent earnings release conference calls;
- · Calendar of events; and
- · Corporate Governance information.
