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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Contacts:
Corporate Communications:
Marina Renneke,
602-760-1758
mrenneke@humana.com
