Humana and Riverside Medical Clinic Partner to Launch Value-Based Arrangement in California
October 21 2014 - 1:30PM
Business Wire
Riverside Medical Clinic to open two
senior-focused primary care practices exclusive to Humana Medicare
Advantage members, designed to improve members’ health and
well-being
Improved health and more coordinated care for Medicare Advantage
(MA) members is the goal behind a new value-based arrangement and
population health management partnership between Humana Inc. (NYSE:
HUM) and Riverside Medical Clinic. The partnership expands on
Humana and Riverside Medical Clinic’s longstanding
relationship.
As part of the partnership, Riverside Medical Clinic will open
two new primary care practices in Riverside County under the
Riverside Medical Clinic Senior Health Care Center brand.
The primary care practices are designed exclusively for Humana’s
Medicare Advantage and traditional Medicare members and will
provide members access to affordable, quality care in a
patient-centered, medical home environment. These practices will
have integrated care teams that include doctors, nurses, health
coaches, nutritionists, a pharmacist for medication management, and
social services/behavioral health resources.
Both in Riverside County, the primary care practices are located
at 19314 Jesse Lane, Suite 100 in Riverside (in the Silver Oaks
Business Park) and 33040 Antelope Road, Suite 114 in Murrieta (in
the Antelope Square Shopping Center). The two primary care
practices will start seeing Humana Medicare Advantage members on or
before January 1, 2015.
“The partnership with Humana allows Riverside Medical Clinic to
expand its geographic footprint and provide a unique care model to
improve the lives of seniors in Riverside County,” said Judy
Carpenter, President and COO at Riverside Medical Clinic. “Since
the clinic’s founding in 1935 we have been committed to providing
excellent care and as our population ages we continue to seek to
refine our delivery of that care.”
Riverside Medical Clinic has provided comprehensive,
multi-specialty medical services in the greater Riverside region
for more than 80 years. With 150 physicians at seven sites, lab
services, four urgent care centers, and in-house diagnostic and
ambulatory surgery center, Riverside Medical Clinic is in an
excellent place to expand to meet the needs of seniors.
“Partnerships like the one with Riverside Medical Clinic help
Humana close the gap for our members by making access to care
easier and providing coordination of care,” said Jim Brown,
California Market President for Humana’s Senior Products. “We’re
excited that Riverside Medical Clinic is partnering with us to
provide innovative, patient-centered care for our Humana Medicare
Advantage members, improving their well-being.”
Humana aims to work closely with doctors and hospitals through
its Accountable Care Continuum. The continuum is a stepped approach
to pay-for-value reimbursement that allows the company to implement
different value-based partnerships with hospitals and doctors based
on their infrastructure and value-based reimbursement
capabilities.
The new partnership between Riverside Medical Clinic and Humana
includes value-based incentives tied to performance improvement and
will bring better patient care coordination, more cost effective,
quality care and a world-class patient experience to Humana members
in southern California. The partnership will offer more
personalized care and a broad range of population management tools
like predictive analytics and chronic care, disease management and
wellness programs.
The Humana/Riverside Medical Clinic partnership emphasizes
quality outcomes with a focus on care coordination and leverages
measures as defined by the National Committee for Quality Assurance
(NCQA) Healthcare Effectiveness Data and Information Set (HEDSI)
like diabetes care and treatment, breast cancer screenings,
colorectal cancer screenings and high-risk medication.
Humana has a 26-year accountable care relationship history with
more than 1.2 million MA members that are cared for by 38,000
primary care physicians, in more than 900 accountable care
relationships across 43 states and Puerto Rico.
About Riverside Medical
Clinic
Established in 1935, Riverside Medical Clinic is the largest
private provider of ambulatory care in the Inland Empire. They now
have seven locations, a state-of-the-art outpatient surgery center,
four urgent care centers, laboratory services and a comprehensive
center for diagnostic imaging and nuclear medicine. More than 150
physicians in 32 specialty areas provide adult and pediatric
primary care, supported by a clinical and administrative staff of
more than 720 personnel. Visit www.riversidemedicalclinic.com for
more information on Riverside Medical Clinic.
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 (including upcoming
earnings conference call dates and times, as well as planned
interaction with research analysts and institutional
investors)
- Corporate Governance information
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Humana Inc.Marina Renneke, APR, 602-760-1758Corporate
Communicationsmrenneke@humana.comorRiverside Medical ClinicRuthan
Smith, 951-782-5177Ruthan.smith@rmcps.com
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