MILWAUKEE, Wis.--(BUSINESS WIRE)--Improving wellness and driving more coordinated care for Medicare Advantage members in Wisconsin are the primary objectives behind the recent three-year Accountable Care agreement between Humana Inc. (NYSE: HUM) and Integrated Health Network of Wisconsin (IHN).
The agreement, effective as of January 1, 2015, will restructure health care delivery to better control costs and increase standards of care for seniors in Wisconsin.
Humana’s Medicare Advantage members will have access to IHN’s broad range of facilities and physicians in Wisconsin. IHN’s growing clinically integrated network currently includes 42 hospitals, 500 clinics and more than 5,000 physicians spanning northern, central, western and eastern Wisconsin.
“IHN’s shared infrastructure uniquely positions it for meaningful collaboration among multiple providers to continuously improve quality and effectiveness in order to control costs,” said Kurt Janavitz, Chief Executive Officer of Integrated Health Network. “We are pleased to partner with Humana, a highly respected leader in the industry, to further enrich our ability to deliver high quality, affordable health care in Wisconsin.”
The foundation of the new agreement is based upon Humana’s 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.
“Comprised of leading hospitals and providers in Wisconsin, IHN is raising the industry standard through its sophisticated, value-based health care delivery model,” said Bruno Piquin, Humana Northern Division Vice President and Leader of Senior Markets. “Working together, we’re looking forward to accomplishing our mutual goal of effectively closing the gap between people and care.”
The partnership will also offer more personalized care and a broad range of population management tools like predictive analytics, chronic disease management and wellness programs. The focus will be on care coordination and leveraging 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 27-year accountable care relationship history with more than 1.3 million MA members that are cared for by 42,300 primary care physicians, in more than 900 accountable care relationships across 43 states and Puerto Rico.
About Integrated Health Network of Wisconsin
Based in Brookfield, Wisconsin, Integrated Health Network of Wisconsin is a clinically integrated network of major health systems, hospitals and physicians working together to improve the quality, efficiency and value of health care services in the markets served by its members. Integrated Health Network’s current members include Agnesian HealthCare, Columbia St. Mary’s, Froedtert Health, the Medical College of Wisconsin, Hospital Sisters Health System, Ministry Health Care, and Wheaton Franciscan Healthcare, representing more than 5, 000 physicians, 500 clinics and 42 hospitals in northern, central, western and eastern Wisconsin. Its vision is to redefine the delivery of health care through innovation and integration. www.ihnwi.com
Humana Inc., headquartered in Louisville, Kentucky, 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); and
- Corporate Governance information.