North Shore-LIJ, Humana to Offer Integrated, Value-Based Health Care to 1,000+ Medicare Advantage Members
September 09 2015 - 9:32AM
Business Wire
New agreement designed to help improve the
health and well-being of Humana members in NYC, Long Island
The North Shore-LIJ Health System and Humana Inc. (NYSE: HUM)
today announced a joint agreement to advance their engagement to
cover more than 1,000 Medicare Advantage members in New York City
and Long Island in a value-based collaboration designed to
coordinate patient care, improve quality and reduce healthcare
costs.
This Smart News Release features multimedia.
View the full release here:
http://www.businesswire.com/news/home/20150909006214/en/
North Shore-LIJ and Humana have worked together since January
2014 on a fee-for-service basis. Building on both organizations’
success to transform health care, they will transition to a
value-based care plan effective January 1, 2016.
Under the latest agreement, North Shore-LIJ will coordinate
Humana members’ care through North Shore-LIJ Premium, an integrated
network of over 5,500 primary care and specialty physicians as well
as other health care professionals in the New York metropolitan
area. Members can continue to access North Shore-LIJ’s network of
19 hospitals, more than 400 outpatient practices and a full
continuum of long-term care, rehabilitation, homecare, hospice and
other services on Long Island, in New York City and in Westchester
County.
“We are proud to collaborate with Humana in the New York market,
further increasing our value-based contracting,” said Howard Gold,
Executive Vice President and Chief Managed Care Business Officer at
North Shore-LIJ. “North Shore-LIJ and Humana are both committed to
serving the Medicare population with exceptional care and service.
The value-based plan allows us to focus on measurable patient
outcomes, care coordination and aligning quality with payment
incentives.”
The value-based agreement reflects a shift away from the current
episodic health care model to a value-based model that emphasizes
quality and patient care experiences. The accountable care approach
also aligns North Shore-LIJ and Humana’s complementary population
health capabilities, including predictive analytics, chronic
disease management and wellness programs.
“We’re delighted to deepen our relationship with North Shore-LIJ
to focus on our mutual desire to help people on Medicare achieve
their best health by focusing on patient-centered, integrated care
that emphasizes prevention, chronic care and improved quality
outcomes,” said Alexander Clague, Humana’s President for Senior
Products in the Northeast Region. “We are excited to share our data
to support North Shore-LIJ’s holistic focus on population health
across all levels of care.”
“The North Shore-LIJ Premium Network and North Shore-LIJ Care
Solutions, the health system’s care management organization, are
the engines that will engage physicians to manage high-risk
patients covered under this program,” Mr. Gold said.
Humana has nearly 30 years of accountable care experience,
reflected in results from approximately one million Medicare
Advantage members who showed significant improvements in quality,
outcomes and costs in 2013.
Kristofer Smith, MD, Vice President and Medical Director of Care
Solutions at North Shore-LIJ, said, “Humana has a strong history of
working alongside providers to deliver high-quality and high-value
care. We look forward to helping Humana grow in our market through
coordinated and respectful engagements with patients and
clinicians.”
About North Shore-LIJ Health
System
One of the nation's largest health systems, North Shore-LIJ
delivers world-class clinical care throughout the New York
metropolitan area, pioneering research at The Feinstein Institute
for Medical Research, a visionary approach to medical education
highlighted by the Hofstra North Shore-LIJ School of Medicine, and
healthcare coverage to individuals, families and businesses through
the CareConnect Insurance Co. Inc. North Shore-LIJ cares for people
at every stage of life at 21 hospitals
and about 450 outpatient physician practices throughout
the region. North Shore-LIJ’s owned hospitals and long-term care
facilities house more than 6,600 beds, employ more than 13,300
nurses and have affiliations with about 10,300 physicians.
With a workforce of more than 61,000, North Shore-LIJ is
the largest private employer in New York State. For more
information, go to www.northshorelij.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;
- Replays of most recent earnings release
conference calls;
- Calendar of events; and
- Corporate Governance information.
View source
version on businesswire.com: http://www.businesswire.com/news/home/20150909006214/en/
North Shore-LIJBetty Olt, 516-465-2645bolt@nshs.eduorTerry
Lynam, 516-465-2640tlynam@nshs.eduorHumana Media RelationsNancy A.
Hanewinckel, 941-585-4763Nhanewinckel1@humana.com
Humana (NYSE:HUM)
Historical Stock Chart
From Jun 2024 to Jul 2024
Humana (NYSE:HUM)
Historical Stock Chart
From Jul 2023 to Jul 2024