Oak Street Health, Humana Expand Partnership to Bring Improved Care to Medicare Advantage Members in Illinois
June 09 2016 - 9:30AM
Business Wire
Partnership will help create healthier
communities, improve quality and reduce costs of health care
services
Humana Medicare Advantage members in Illinois now have greater
access to value-based care, thanks to an expanded partnership
between Oak Street Health and health and well-being leader Humana
Inc. (NYSE: HUM). The expanded arrangement, which was first
announced last year, is designed to offer a more proactive and
wellness-focused health care experience and financially reward
doctors for high-quality care.
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On average, current Humana Medicare Advantage members served by
providers under value-based care experienced fewer ER visits and
hospital admissions, higher screening rates, including those for
colorectal cancer (+7 percent) and breast cancer (+6 percent), and
healthier outcomes versus members who were treated by providers in
standard Medicare Advantage settings.
The expanded partnership gives Humana’s Medicare Advantage
members access to Oak Street Health’s six new patient care centers,
for a total of 15 centers throughout Chicagoland, Northwest
Indiana, Indianapolis and Rockford, Ill. Oak Street Health
patients’ visits are more than twice as long as the average doctor
visit, with prevention and early intervention being the
cornerstones of its care model.
“Our goal at Oak Street can be summed up really simply: we aim
to keep our patients happy, healthy, and out of the hospital. And
we measure all three of those things so we can deliver on the
promise. We have industry-leading patient satisfaction scores,
elite performance on quality metrics around prevention and chronic
disease management, and our patients go to the hospital far less
than non-Oak Street peers,” said Dr. Griffin Myers, Founder and
Chief Medical Officer of Oak Street Health. “We're excited to grow
our practice with Humana and to extend the Oak Street brand of
personalized primary care to Humana members.”
Oak Street Health operates a network of primary care facilities
in Illinois and Indiana focusing on older adults receiving Medicare
benefits. Oak Street care teams consist of a physician, nurse
practitioner, registered nurse, medical assistant, care manager,
and clinical informatics specialist. Team members have explicit
roles during and between visits, and teams have structured daily
communication to help ensure the best possible care every step of
the way.
Value-based care represents a significant shift from the
historic model of health care known as fee-for-service, which
focuses on the costly treatment of sickness instead of disease
prevention and keeping people in good health. In the
fee-for-service model, physicians are paid and incentivized based
on volume (number of services they perform), not improved health
outcomes for the patient. By contrast, transitioning to value-based
payment models means that physicians are reimbursed for the health
outcomes of the patients they serve, not the number of services
they provide. 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.
“We are proud to support Oak Street Health in building upon what
is already a well-integrated care delivery system by providing care
management support,” said Chuck Dow, Great Lakes Region President
for Humana’s Senior Products. “Oak Street Health’s care teams are
focused on coordinating care around each patient’s unique health
needs. By partnering with Humana, we are helping to bolster Oak
Street Health’s team-based approach to care delivery, providing
useful information, and resources to help those teams operate at
their very best.”
For doctors thinking about entering into a value-based care
agreement, many cite having adequate resources and support as key
barriers to adopting this new model. By partnering with Humana,
providers have access to a number of different services to help
support their transition to value-based care.
As part of the agreement, Oak Street Health and Humana will
continue focusing on strategies that improve the health of Humana’s
Medicare Advantage members in Illinois and Indiana, lower costs,
and manage the ongoing health needs of the population. Oak Street
Health will utilize Humana’s population health management tool to
help identify gaps in care, manage medication adherence, follow up
on patients needing PCP visits, and identifying high ER utilizers
and 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.
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 47,800
primary care providers 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 www.humana.com/valuebasedcare.
About Oak Street Health
Oak Street Health is a network of primary-care centers for
people on Medicare with an innovative model of care focused on
keeping our patients healthy and out of the hospital. We build
relationships between our patients and their doctors and care
teams, and we invest in giving our patients better access to care.
Our patients enjoy the benefits of personal managed care,
transportation, and daily programming in our community rooms. Oak
Street Health has 15 locations in Illinois and Indiana. More
information about Oak Street Health can be found at
www.oakstreethealth.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
View source
version on businesswire.com: http://www.businesswire.com/news/home/20160609005865/en/
Humana Corporate CommunicationsNancy Hanewinckel,
941-585-4763nhanewinckel1@humana.comorOak Street HealthMaria
Barnett, 773-818-8161maria.barnett@oakstreethealth.com
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