John Muir Health, Humana Partner to Bring Improved Care to Contra Costa County Patients
June 02 2016 - 10:00AM
Business Wire
Partnership will help create healthier
communities, improve quality and reduce costs of health care
services
Humana Medicare Advantage members in Contra Costa County now
have access to value-based care, thanks to a partnership between
John Muir Health 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 for Humana’s Medicare
Advantage members.
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This value-based agreement unites John Muir Health and Humana
around the common goal of achieving the triple aim of improving the
health of Humana Medicare Advantage members served by John Muir
Health, improving the patient experience of care (quality and
satisfaction), and reducing the cost of care. Under the terms of
this agreement, both organizations will benefit financially if the
health of this population improves. Doctors will also be rewarded
financially for high-quality care.
Transitioning to value-based payment models means that
physicians are reimbursed for the health outcomes of the patients
they serve. By focusing on quality and health, Humana experienced
18 percent lower costs in total in 2014 for members who were
treated by providers in a value-based reimbursement model setting
versus original fee-for-service Medicare. John Muir Health has also
participated in several value-based programs, including the
Medicare Shared Savings Program ACO. John Muir Health was a top
performing Medicare ACO in California and the only participant in
California to achieve shared savings for the 2014 performance
year.
“Our new partnership will build on the care coordination
expertise of Humana and John Muir Health to bring Humana Medicare
Advantage members more cost-effective, quality care and an
exceptional patient experience,” said Lee Huskins, president and
chief administrative officer of John Muir Health’s Physician
Network. “Our partnership is well aligned with John Muir Health’s
efforts to increase access, focus on preventive care and, when
needed, deliver the right care at the right time and in the most
appropriate setting for our patients.”
John Muir Health and its physician network, one of the largest
medical groups in Northern California, offers more than 1,000
primary care and specialty physicians. Humana’s Medicare Advantage
members will have in-network access to John Muir Health affiliated
physicians and facilities, including its Concord, San Ramon
(partner with Tenet Healthcare) and Walnut Creek hospitals,
multiple outpatient centers and other ancillary services.
As part of the agreement, John Muir Health and Humana will
develop strategies to improve the health of Humana’s Medicare
Advantage members in Contra Costa County, lower costs, and manage
the ongoing health needs of the population. John Muir Health will
collaborate with Humana to manage prescriptions, follow up on
patients who miss appointments, and identify at-risk patients so
they can receive the right care before requiring serious medical
attention. Patients will also benefit from wellness programs and
improved screening and monitoring for chronic conditions such as
diabetes and heart disease.
“Improving the patient experience is an instrumental component
of why Humana and John Muir Health entered into this value-based
agreement,” said Emily Coriale, Humana’s Medicare Vice President
for California and the Pacific Region. “We’ve found that our Humana
members want more personalized care from their doctors and
specialists, as well as access to wellness programs in their
community. This new partnership with John Muir Health puts the
patient at the center of their own care, helping them to maximize
their personal health and well-being.”
Nationally, Humana has nearly 30 years of accountable care
experience, including approximately 1.7 million individual Medicare
Advantage and 200,000 commercial members, cared for by more than
47,800 primary care physicians in more than 900 value-based payment
relationships across 43 states and Puerto Rico. Currently,
approximately 61 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 2017. For more information, visit
humana.com/accountable-care or humana.com/valuebasedcare.
“John Muir Health sees development of and participation in
value-based agreements as an important part of our future, a vision
we share with Humana, as we move from a fee-for-service based
payment system to population-based models based on quality, safety
and the patient experience,” said Huskins. “Our combined experience
and success with these types of arrangements positions us well to
deliver on what patients are looking for in their health care
experience.”
About John Muir Health
John Muir Health is a nationally recognized, not-for-profit
health care organization east of San Francisco serving patients in
Contra Costa, eastern Alameda and southern Solano Counties. It
includes a network of more than 1,000 primary care and specialty
physicians, nearly 6,000 employees, medical centers in Concord and
Walnut Creek, including Contra Costa County’s only trauma center,
and a Behavioral Health Center. John Muir Health also has
partnerships with San Ramon Regional Medical Center, UCSF Health
and Stanford Children's Health to expand its capabilities, increase
access to services and better serve patients. The health system
offers a full-range of medical services, including primary care,
outpatient and imaging services, and is widely recognized as a
leader in many specialties – neurosciences, orthopedic, cancer,
cardiovascular, trauma, emergency, pediatrics and high-risk
obstetrics care. For more information, visit
www.johnmuirhealth.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
- Corporate Governance information
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version on businesswire.com: http://www.businesswire.com/news/home/20160602006029/en/
Humana Corporate CommunicationsMarina Renneke, APR,
602-760-1758mrenneke@humana.comorJohn Muir HealthBen Drew,
925-947-5387Ben.Drew@johnmuirhealth.com
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