Aledade and Humana Announce Agreement Expanding Value-Based Care for Humana Medicare Advantage Members in Three States February 7, 2019

Today, Aledade and health insurance and wellness company Humana announced a value-based care agreement to broaden the availability of coordinated, quality care for Humana Medicare Advantage members in Louisiana, Pennsylvania, and West Virginia.

Through the Aledade-Humana agreement, physicians in those states will be able to use technological tools, data, and other resources from both organizations to help deliver value-based care to Humana Medicare Advantage members.

Aledade partners with independent primary care practices to build and lead accountable care organizations (ACOs) that participate in a variety of value-based care arrangements. These ACOs focus on delivering preventive care, reducing unnecessary or repetitive care, and better coordinating patient care.

“We’re delighted to be able to deliver value-based care to an expanded patient population through this agreement with Humana,” said Dr. Farzad Mostashari, co-founder and CEO of Aledade. “Humana shares our dedication to improving patient health and lowering health care costs by empowering independent physicians to thrive in value-based care arrangements.”

“Humana is pleased to expand the availability of value-based care in Louisiana, Pennsylvania, and West Virginia,” said Oraida Roman, vice president of Humana’s Value-Based Strategies Organization. “This agreement reflects a strong, mutual belief by Aledade and Humana that value-based care is key to enhancing both the patient experience and patient outcomes.”

Humana has made value-based care a central focus over the past year. In April 2018, it launched its Hospital Incentive Program with the goal of reducing redundant services and readmissions. Cleveland Clinic Florida and Georgia’s WellStar Health System were among the first medical providers to join the program.

All of Humana’s value-based care arrangements revolve around allowing physicians to have more time for treating their patients, thus increasing access to preventive care and improving chronic care management.

Mostashari, who at one time was the National Coordinator for Health IT, said that the partnership to expand its activities to drive better-coordinated population health management.

Humana’s most recent report on value-based care, which was released in November of 2018, shows that the company had 62 bundled payment contracts with providers. In addition, two-thirds of the company’s 2.9 million Medicare Advantage members see a primary care doctor who is in a value-based payment agreement.

Read the press release here.

See additional coverage in Fierce Healthcare.

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