Doylestown Health Partners Contracts with Humana to Bring Accountable Health Care Model to Southeastern Pennsylvania
September 09 2015 - 11:01AM
Business Wire
Doylestown Health Partners and national health and well-being
leader Humana Inc. (NYSE: HUM) are working together to offer
Medicare Advantage members in Bucks and Montgomery counties a new
model for health care called accountable care. The new approach,
also known as value-based health care, is part of a national trend
designed to create a more primary care-focused health system that
delivers highly coordinated and personalized care.
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Through the new agreement, Humana’s population health
capabilities, including predictive analytics, chronic disease
management and wellness programs, will support Doylestown Health
Partners’ highly integrated health care network that is already
focused on a patient-centric care model. Accountable care is a
growing national trend representing a shift away from the historic
health care model that focused on treating individual health
events. Accountable care aligns all players in the health care
system to focus on a person’s overall health and long-term
well-being.
“Doylestown Health Partners is unique among networks in that
primary care physicians, specialists and hospitals are clinically
and financially integrated to deliver high-quality, low-cost health
care, and to promote wellness throughout the community,” said Scott
Levy, MD, Chairman of the DHP Managing Committee. “Our agreement
with Humana is a natural progression to build on our strengths and
partner with a leading insurer that shares our vision.”
Humana’s Medicare Advantage membership in the region has grown
steadily in recent years, with 3,200 members in Bucks and
Montgomery counties. Humana has nearly 30 years of accountable care
experience, reflected in results from approximately one million
Medicare Advantage members that showed significant improvements in
quality, outcomes and costs through partnerships like the one with
Doylestown Health Partners.
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.
“Doylestown Health Partners is an ideal partner for this kind of
effort because they’ve already made impressive strides in putting
the patient and their primary care physician at the center of the
health care equation,” explained Rich Vollmer, Humana’s President
of Senior Products in Pennsylvania. “That’s the key to a better
health care model. Our goal is to add our data and analytics tools
to the mix, helping Doylestown Health Partners’ physicians spend
more time with their patients and better coordinate their
care.”
The agreement includes value-based incentives tied to
performance improvement and quality outcomes, emphasizing standard
measures defined by the National Committee for Quality Assurance
(NCQA) Healthcare Effectiveness Data and Information Set (HEDIS),
including breast cancer screening, colorectal screening,
comprehensive diabetes care, and high-risk medications.
Today, Humana has approximately 1.5 million individual Medicare
Advantage members and nearly 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 Doylestown Health
Partners
Doylestown Health Partners (DHP) is an LLC in which individual
physicians (primary care and specialists) and Doylestown Hospital
have an equal equity stake. DHP is the clinically and financially
integrated network that ensures the delivery of high-quality,
cost-effective health care in a regional marketplace that extends
well beyond the Doylestown community.
Doylestown Health Partners is a unique partnership, the result
of 25 years of collaboration among physicians – most of whom are
independent practitioners and members exclusively of the Doylestown
Hospital Medical Staff – and health system administration.
Doylestown Hospital is the flagship of Doylestown Health, a
non-profit community health system that includes a skilled nursing
facility, surgery center, home health and hospice services, and a
retirement community.
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.
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Doylestown HealthRon Watson, 215-345-2867rwatson@dh.orgorHumana
Media RelationsJeff Blunt, 513-826-7094jblunt@humana.com
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