Humana Military Names Alefiyah Mesiwala, M.D., Chief Medical Officer
February 25 2021 - 11:00AM
Business Wire
Dr. Mesiwala’s expertise in health care
transformation and quality improvement will help Humana better
serve its six million Military beneficiaries, and also help the
military health system shift to value-based care
Humana Military, a wholly owned subsidiary of Humana Inc. (NYSE:
HUM), announced today the appointment of Alefiyah Mesiwala, M.D.,
MPH, as Humana Military’s new Chief Medical Officer. Effective
March 15, Dr. Mesiwala will serve as a member of the Humana
Military leadership team and report to Brent Densford, President,
Humana Government Business, Inc. – Humana Military.
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Alefiyah Mesiwala, M.D., MPH, Chief
Medical Officer, Humana Military (Photo: Business Wire)
Humana Military has a long history of partnering with Department
of Defense and the Defense Health Agency to administer health
coverage for U.S. Military active duty service beneficiaries,
retirees and family members through the TRICARE health program.
Humana Military is a convener of care for the TRICARE East region,
serving the physical and mental health and well-being needs of
beneficiaries through 500,000 health care provider
partnerships.
“Humana Military has been a proud partner of the Defense Health
Agency for 25 years, helping the agency develop solutions to
support six million TRICARE active duty, retiree and their family
beneficiaries to achieve better health outcomes, receive improved
quality of care and lower care costs,” Densford said. “Humana
Military is excited to have Dr. Mesiwala join our team and
strengthen our partnership with the DHA. Dr. Mesiwala’s background
as a physician, combined with her experiences in integrated payer
and provider health, Federal government, and preventive medicine,
will make her a critical leader on our team. Dr. Mesiwala’s proven
track record in alternative payment models and clinical quality
improvement will support DHA and Humana Military navigate a
critical and important shift towards value-based care for the
TRICARE population.”
As the Chief Medical Officer for Humana Military, Dr. Mesiwala
will provide strategic leadership and direction for medical
management and clinical operations of the TRICARE contract to
ensure the delivery of high quality integrated health care. She
will lead large-scale transformation of the Humana Military
business towards value-based care delivery, leveraging Humana’s
significant capabilities in population health management and
integrated care to better serve the physical and behavioral health
needs of the TRICARE population. Humana’s population health
management capabilities, which include chronic disease management
and data analytics, are focused on working with community-based
organizations, business and government leaders, and health care
practices to co-create clinical solutions to address population
health at a local level.
The Defense Health Agency has stated the importance of
integrating value-based care programs and alternative payment
models (APMs) into the TRICARE 5th generation (T5) contracts
through recent draft requests for proposal. Humana is one of the
nation’s leading companies for entering into value-based agreements
with physician groups to serve its Medicare Advantage members. In
2019, 2.41 million Humana individual Medicare Advantage
beneficiaries receiving care from primary care physicians in
value-based payment models experienced, on average, better health
outcomes, lower costs and more preventive care, as opposed to
fee-for-service models.
“Humana Military has done an outstanding job working with the
Defense Health Agency through TRICARE to serve the health needs of
its beneficiaries,” said Dr. Mesiwala. “My expertise in clinical
payment innovation and my on-the-ground experiences working closely
with providers in value-based care will support the Humana Military
team as we partner with DHA to transform the care for the TRICARE
population towards the Quadruple Aim. The military members who
defend our nation and their families deserve the best health care
possible and it is my honor to serve them.”
Dr. Mesiwala joins Humana Military from the University of
Pittsburgh Medical Center (UPMC) Health Plan, where she has served
since 2017 as Senior Medical Director for Value-based Care and
Innovation for UPMC Health Plan. At UPMC Health Plan, Dr. Mesiwala
led the clinical design and implementation of primary care and
specialty-focused alternative payment models. Additionally, she led
programs to support providers and physicians across the network in
practice transformation and clinical quality improvement.
From 2015 until 2017, Dr. Mesiwala served as Senior Policy
Advisor in Healthcare to former President Barack Obama at the White
House, where she was responsible for furthering the
Administration’s progress in health care policy. As the health care
lead for the White House National Economic Council, Dr. Mesiwala
launched a multi-stakeholder public-private partnership to further
kidney care and organ transplantation and also launched a national
provider-focused collaborative to collectively address workforce
challenges in health care. From 2011 to 2015, Dr. Mesiwala worked
at the Center for Medicare and Medicaid Innovation (CMMI), where
she served as a Medical Officer and Senior Advisor to the CMMI
Director. In this capacity, Dr. Mesiwala led the development and
implementation of new models including specialty-focused
accountable care organization and the CMS healthcare innovation
awards program.
Dr. Mesiwala received her M.D. from the University of Michigan
Medical School and a master’s in public health from Johns Hopkins
Bloomberg School of Public Health. She completed her clinical
training and residency in general medicine and preventive medicine
also at Johns Hopkins and currently is a fellow of the American
College of Preventive Medicine.
Dr. Mesiwala is a frequent speaker at national conferences. She
is also an active member of professional organizations, various
national committees, and advisory groups. She lives with her
husband and two kids in Pittsburgh, PA.
About Humana Military
Humana Military, a wholly owned subsidiary of Humana Inc. (NYSE:
HUM), partners with the Department of Defense and the Defense
Health Agency to administer the TRICARE health program for six
million U.S. Military active duty, retirees and family member
beneficiaries in the East Region. For the last 25 years, Humana
Military has strived to create better health outcomes and
simplified experiences for millions of beneficiaries across the
United States through TRICARE and other military health care
programs. For more information, please visit
www.humanamilitary.com.
About Humana
Humana Inc. is committed to helping our millions of medical and
specialty members achieve their best health. Our successful history
in care delivery and health plan administration is helping us
create a new kind of integrated care with the power to improve
health and well-being and lower costs. Our efforts are leading to a
better quality of life for people with Medicare, families,
individuals, military service personnel, and communities at
large.
To accomplish that, we support physicians and other health care
professionals as they work to deliver the right care in the right
place for their patients, our members. Our range of clinical
capabilities, resources and tools – such as in-home care,
behavioral health, pharmacy services, data analytics and wellness
solutions – combine to produce a simplified experience that makes
health care easier to navigate and more effective.
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 and conference calls
- Calendar of events
- Corporate Governance information
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Alex Kepnes Humana Corporate Communications (502) 287-3567
akepnes@humana.com
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