DALLAS & LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM), a leading health and well-being company, today announced it has collaborated with Premier Independent Physicians (PIP) on a value-based agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare Advantage members in Dallas-Fort Worth metro achieve better health.
Humana’s Medicare Advantage HMO and PPO plan members in Collin, Cook, Dallas, Denton, Ellis, Johnson, Lamar, Palo Pinto, Tarrant, and Wise counties will have in-network access to PIP’s vast number of physicians and facilities throughout the Dallas-Fort Worth metro. Additionally, Humana’s Dual Eligible Special Needs Plan members (members of these plans have both Medicare and Medicaid) in Collin, Dallas, Denton, Ellis, Johnson, Tarrant, and Wise counties will have the same in-network access in the Dallas-Fort Worth metro.
The agreement with PIP is part of Humana’s longstanding commitment to value-based care, which emphasizes:
- More personal time with health professionals and personalized care that is tailored to each person’s unique health situation;
- Access to proactive health screenings and programs that are focused on preventing illness;
- Improved care for people living with chronic conditions with a focus on avoiding health complications;
- Leveraging technologies, such as data analytics, that connect physicians and help them work as a team to coordinate care around the patient; and
- Reimbursement to physicians linked to the health outcomes of their patients rather than based solely on the quantity of services they provide (fee-for-service).
PIP offers a model for care in north Texas and southern Oklahoma that places primary care physicians at the center of healthcare, and supports their operational, technology and practice management need. In this way, PIP frees primary care physicians to drive a higher level of care for their patients. PIP’s model, which is fully integrated with a robust network of like-minded hospitals and ancillary and specialty providers, offers patients a seamless care experience designed to improve their overall health and quality of life.
Under this new agreement, PIP’s physicians will also benefit by having access to tools, real-time data and care support offered by Humana, which will maximize the time PIP physicians spend with their patients covered by Humana Medicare Advantage HMO and PPO plans.
“We’re thrilled to be working with Humana, a respected organization that shares our commitment to supporting the health and well-being of patients and strong independent physician ecosystems,” said R. Haris Naseem, M.D., Chief Executive Officer for Premier Independent Physicians. “Working with Humana allows us to extend our successful care programs to Medicare Advantage members, helping to foster healthier communities and work towards a sustainable healthcare future.”
“We are looking forward to offering our Dallas-Fort Worth Medicare Advantage members additional access to value-based care through our new relationship with Premier Independent Physicians,” said Bill White, Texas Medicare President for Humana. “By working together with PIP, we are able to offer our Humana Medicare Advantage members quality care with the goal of improving their health and well-being.”
Humana has an extensive and growing value-based care presence. As of June 30, 2018, Humana has approximately 2 million individual Medicare Advantage members and approximately 130,000 Group members who are cared for by more than 52,000 primary care physicians in more than 1,000 value-based relationships across 43 states and Puerto Rico. Humana’s total Medicare Advantage membership is more than 3.5 million members, which includes members affiliated with providers in value-based and standard Medicare Advantage settings. For more information, visit humana.com/provider/support/vbc.
About Premier Independent Physicians
Premier Independent Physicians (PIP) offers a future-ready model for convenient, quality clinical care. Leveraging partnerships with existing primary care, specialty care, ancillary care, and hospital providers, PIP currently provides care through six cutting-edge clinics in north Texas and southern Oklahoma.
By helping independent primary care physicians successfully navigate ongoing healthcare change and complexity—essentially managing the business of managed care for them—PIP frees PCPs to focus more time and attention on patient care. This means more face-to-face time and a better care experience and a goal of improved outcomes for patients.
Our unique care system also provides extra health and wellness benefits to patients and strengthens patient-physician connections. With PIP, providers are better able to guide all stages of care, helping improve patients’ health and quality of life.
To learn more about PIP, or to find a convenient PIP location, visit www.piptx.com.
Humana Inc. (NYSE: HUM) 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
Humana is a Medicare Advantage HMO and PPO organization with a Medicare contract. Humana is also a Coordinated Care Plan with a Medicare contract and a contract with the Texas Medicaid program. Enrollment in any Humana plan depends on contract renewal. Other Providers are available in our network. The provider may contract with other Plans.