Aledade, Inc. and leading health and well-being company Humana Inc. (NYSE: HUM) today announced an agreement to expand the availability of value-based care for Humana Medicare Advantage members in North Carolina.
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The contract, now in effect, enables physicians in Aledade’s Accountable Care Organizations (ACOs) in North Carolina who participate in Humana’s Medicare Advantage network to utilize tools and resources from both organizations to help deliver coordinated, quality care. This agreement builds on an earlier value-based contract between Humana and Aledade in Louisiana, Pennsylvania, and West Virginia.
“Humana shares our strong commitment to helping independent practices thrive in value-based care arrangements that reward them for improving the quality of care and patient health outcomes,” said Patrick Mobley, Executive Director of Aledade’s North Carolina ACOs. “Together, we are empowering North Carolina physicians with support to offer a more personalized, coordinated primary care experience for the patient.”
Aledade partners with independent primary care practices to build and lead 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. Aledade supports physicians with a comprehensive range of capabilities that includes data analytics; care management and patient outreach tools; regulatory expertise; and local, hands-on support.
“Humana is pleased to increase access to coordinated care for our North Carolina Medicare Advantage members through this expanded collaboration with Aledade,” said Neil Steffens, Humana Regional President for Medicare in North Carolina. “We’re excited to support these physician practices through shared knowledge and expertise, and strengthen our ability to improve health outcomes and the patient experience.”
The agreement with Aledade is part of Humana’s longstanding commitment to value-based care, which emphasizes:
- More personal time with health professionals and personalized care that is tailored to each person’s unique health situation;
- Access to proactive health screenings and programs that are focused on preventing illness;
- Improved care for people living with chronic conditions with a focus on avoiding health complications;
- Leveraging technologies, such as data analytics, that connect physicians and help them work as a team to coordinate care around the patient; and
- Reimbursement to physicians linked to the health outcomes of their patients rather than based solely on the quantity of services they provide (fee-for-service).
Humana has an extensive and growing value-based care presence. As of Dec. 31, 2019, Humana has more than 2.4 million individual Medicare Advantage members and approximately 115,000 commercial members who are cared for by approximately 62,000 primary care physicians in more than 1,000 value-based relationships across 43 states and Puerto Rico. As of January, 2020, Humana’s total Medicare Advantage membership is approximately 4.4 million members, which includes members affiliated with providers in value-based and standard Medicare Advantage settings.
Source: Yahoo