Humana, Key Medical Group & Kaweah Delta Health Care District Announce Value-Based, Integrated Delivery Arrangement in Centra...
October 23 2014 - 2:31PM
Business Wire
Relationship designed to improve the health and
well-being of Humana Medicare Advantage members
Improved health and more coordinated care for Humana’s Medicare
Advantage (MA) members in Tulare County is the goal behind a new
fully-accountable, value-based partnership among Key Medical Group,
Kaweah Delta Health Care District and Humana Inc. (NYSE: HUM).
Humana, Key Medical Group and Kaweah Delta have joined efforts
in the creation of an integrated delivery system that will result
in more coordinated care with an increased emphasis on preventive
services for Humana Medicare Advantage members.
As part of the multi-year partnership, Humana will be Key
Medical Group’s exclusive Medicare Advantage HMO partner in Tulare
County. Humana offers Medicare HMO plans, a prescription drug plan,
and Medicare supplemental policies in the county.
Through Key Medical Group physicians, Humana’s Medicare
Advantage members will have in-network access to Kaweah Delta
facilities, including Kaweah Delta Medical Center and its
supportive specialty facilities. Kaweah Delta Health Care District
provides high-quality, customer-oriented and financially strong
healthcare services that meet the diverse needs of those they
serve.
“The new Key Medical Group, Kaweah Delta and Humana agreement
will bring better patient care coordination, more cost-effective
quality care and a world-class patient experience to Humana members
in Central California,” said Lindsay Mann, Kaweah Delta’s Chief
Executive Officer. “The arrangement will offer more personalized
care and a broad range of population management tools like
predictive analytics and chronic care, disease management and
wellness programs.”
“Key Medical Group is very excited to be working with Humana and
Kaweah Delta on the creation of the Integrated Delivery System,”
said Dr. Onsy Said, Medical Director of Key Medical Group. “From
physicians to case managers and health coaches, the new delivery
network will offer more coordinated care and focus on the health
and well-being of our members.”
Key Medical Group is an Independent Physician Association (IPA)
established in 1993 with the goals and objectives to provide
quality care to members and to have fair, efficient, and quality
medical management services for assigned members and participating
providers. The IPA currently holds contracts with 128 primary care
physicians and about 300 specialists in the Tulare and Kings
counties.
“As we look to close the gap for our members by making access to
care easier and providing coordination of care, these types of
accountable partnerships are a critical step for Humana in
California,” said Jim Brown, Humana’s California Market President
for Senior Products. “Key Medical Group and Kaweah Delta are ideal
partners in central California. Our mutual commitment to quality
helps us improve the health and well-being of Humana’s Medicare
Advantage members.”
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 Humana/Key Medical Group/Kaweah Delta 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 (HEDIS)
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 Key Medical Group
Key Medical Group is an Independent Physician Association (IPA)
established in 1993 with the goals and objectives to provide
quality care to members and to have fair, efficient, and quality
medical management services for assigned members and participating
providers. The IPA currently holds contracts with 128 primary care
physicians and about 300 specialists in the Tulare and Kings County
area. The IPA manages medical care for approximately 22,000 members
in the two counties.
About Kaweah Delta Health Care
District
With more than 300 physicians and 3,600 employees – nearly 1,000
of which are registered nurses – Kaweah Delta Health Care District
provides the people living and working in California’s bustling
Central Valley with access to high-quality health care just minutes
from home. Located in Tulare County, the heart of the state’s rural
Central Valley, Kaweah Delta is a 581-bed, eight-campus healthcare
district established in 1961 and governed by a five-member board of
directors. Offering general, specialty and sub-specialty care
in a full-range of medical fields (heart, lung, vascular, spine,
childbirth, cancer, etc.)
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.Corporate Communications:Marina Renneke,
602-760-1758mrenneke@humana.com
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