DOYLESTOWN, Pa. & LOUISVILLE, Ky.--(BUSINESS WIRE)--Doylestown Health Partners and national health and well-being leader Humana Inc. (NYSE: HUM) are working together to offer Medicare Advantage members in Bucks and Montgomery counties a new model for health care called accountable care. The new approach, also known as value-based health care, is part of a national trend designed to create a more primary care-focused health system that delivers highly coordinated and personalized care.
Through the new agreement, Humana’s population health capabilities, including predictive analytics, chronic disease management and wellness programs, will support Doylestown Health Partners’ highly integrated health care network that is already focused on a patient-centric care model. Accountable care is a growing national trend representing a shift away from the historic health care model that focused on treating individual health events. Accountable care aligns all players in the health care system to focus on a person’s overall health and long-term well-being.
“Doylestown Health Partners is unique among networks in that primary care physicians, specialists and hospitals are clinically and financially integrated to deliver high-quality, low-cost health care, and to promote wellness throughout the community,” said Scott Levy, MD, Chairman of the DHP Managing Committee. “Our agreement with Humana is a natural progression to build on our strengths and partner with a leading insurer that shares our vision.”
Humana’s Medicare Advantage membership in the region has grown steadily in recent years, with 3,200 members in Bucks and Montgomery counties. Humana has nearly 30 years of accountable care experience, reflected in results from approximately one million Medicare Advantage members that showed significant improvements in quality, outcomes and costs through partnerships like the one with Doylestown Health Partners.
In data released in 2014, Humana members in accountable care relationships experienced fewer emergency room visits and hospital admissions, and improved clinical and management screening compliance for conditions such as diabetes and cardiovascular disease.
“Doylestown Health Partners is an ideal partner for this kind of effort because they’ve already made impressive strides in putting the patient and their primary care physician at the center of the health care equation,” explained Rich Vollmer, Humana’s President of Senior Products in Pennsylvania. “That’s the key to a better health care model. Our goal is to add our data and analytics tools to the mix, helping Doylestown Health Partners’ physicians spend more time with their patients and better coordinate their care.”
The agreement includes value-based incentives tied to performance improvement and quality outcomes, emphasizing standard measures defined by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS), including breast cancer screening, colorectal screening, comprehensive diabetes care, and high-risk medications.
Today, Humana has approximately 1.5 million individual Medicare Advantage members and nearly 200,000 Commercial members, cared for by approximately 43,000 primary care physicians in more than 900 accountable care relationships across 43 states and Puerto Rico. For more information, visit humana.com/accountable-care.
About Doylestown Health Partners
Doylestown Health Partners (DHP) is an LLC in which individual physicians (primary care and specialists) and Doylestown Hospital have an equal equity stake. DHP is the clinically and financially integrated network that ensures the delivery of high-quality, cost-effective health care in a regional marketplace that extends well beyond the Doylestown community.
Doylestown Health Partners is a unique partnership, the result of 25 years of collaboration among physicians – most of whom are independent practitioners and members exclusively of the Doylestown Hospital Medical Staff – and health system administration. Doylestown Hospital is the flagship of Doylestown Health, a non-profit community health system that includes a skilled nursing facility, surgery center, home health and hospice services, and a retirement community.
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; and
- Corporate Governance information.