Vanderbilt Health Affiliated Network, Humana Enter Value-Based Agreement to Benefit Medicare Advantage Patients
30 March 2017 - 4:30AM
Business Wire
The Vanderbilt Health Affiliated Network, the region’s largest
alliance of leading hospitals and clinicians, and Humana, a leading
health and well-being company, have entered into a value-based
agreement that will benefit 4,000 Humana Medicare
Advantage members in Middle Tennessee and Jackson, Tenn. The
four-year agreement, which is the network’s first value-based care
arrangement for a Medicare Advantage plan, commits network
clinicians and Humana to work together to achieve shared goals for
their patients: better health, improved outcomes and lower
costs.
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Both organizations have proven track records in value-based
care, which aligns the efforts and incentives of clinicians to what
matters most to patients: improving their health care experience
and overall health while also controlling health care costs.
- Over the last four years, providers who
are part of the Vanderbilt Health Affiliated Network have improved
the coordination of care for their patients while also delivering
cost savings to benefit plan customers.
- In 2015, on average, Humana Medicare
Advantage members served by providers under value-based care
experienced: 6 percent fewer ER visits, higher screening rates,
including those for colorectal cancer (+8 percent) and breast
cancer (+6 percent), and healthier outcomes versus members who were
treated by providers in standard Medicare Advantage settings.
“Humana’s new agreement with the Vanderbilt Health Affiliated
Network is aligning high-quality physicians and facilities with
Humana’s expertise in value-based care, population health tools and
data-driven insights around the same goal: improving the health of
the people we serve,” said Doug Haaland, Mid-South regional
president for Humana.
“This agreement with Humana further validates Vanderbilt Health
Affiliated Network’s proven model for delivering quality and value.
We are pleased to work together to bring the network’s mission for
providing more proactive, coordinated and affordable care to
Humana’s Medicare Advantage patients in our region,” said C. Wright
Pinson, MBA, M.D., deputy chief executive officer for Vanderbilt
University Medical Center and chairman of the board for the
Vanderbilt Health Affiliated Network.
The Vanderbilt Health Affiliated Network is the region’s largest
physician-led organization of healthcare professionals working to
improve health and increase value to patients, providers, employers
and other consumers of healthcare services. The network powers
programs and benefit products with the goal of improving overall
health across large populations while reducing per-capita costs for
healthcare delivery. Currently, the network is responsible for
delivering high-quality, cost-effective care to more than 130,000
people through benefit products with multiple insurance carriers.
That number is growing constantly through new relationships such as
the one announced today.
“To truly transform the health of this region, we created a
network of hospitals and physicians who are committed to
excellence, innovation and collaboration. We have carefully chosen
partners, like Humana, who share our vision for strong, healthy
communities and who provide valuable support to help make our
vision a reality,” said Mark Cianciolo, executive director,
Vanderbilt Health Affiliated Network. “We are looking forward to
the valuable insights and the best practices that will come from
our work together caring for Medicare Advantage patients.”
This new agreement maintains Vanderbilt Health Affiliated
Network coverage for patients with Humana Medicare Advantage plans,
but provides additional resources to physicians to help them better
manage the health of their patients.
As of Dec. 31, 2016, Humana has 1.8 million individual Medicare
Advantage members and 200,000 commercial members who are cared for
by 50,400 primary care providers, in more than 900 value-based
relationships across 43 states and Puerto Rico.
As of Dec. 31, 2016, approximately 64 percent of Humana
individual Medicare Advantage members are in value-based payment
relationships. Humana’s goal is to have 66 percent of individual
Medicare Advantage members in value-based payment models by the end
of 2017. For more information, visit humana.com/accountable-care or
www.humana.com/valuebasedcare.
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 and
conference calls
- Calendar of events
- Corporate Governance information
About the Vanderbilt Health Affiliated Network
The Vanderbilt Health Affiliated Network is the region’s largest
physician-led organization of health care professionals working
together to improve health and increase value to patients,
providers, employers and other consumers of health care services.
It serves patients across Tennessee, portions of Kentucky, Eastern
Arkansas, Northern Mississippi and the western portion of Virginia.
The network includes more than 4,000 clinicians, 56 hospitals, 12
health systems, and hundreds of physician practices and clinics.
Participating health systems include:
- Baptist Memorial Health Care, Memphis,
TN
- Cookeville Regional Medical Center,
Cookeville, TN
- Erlanger Health System, Chattanooga,
TN
- Jennie Stuart Medical Center,
Hopkinsville, KY
- Maury Regional Medical Center,
Columbia, TN
- Mountain States Health Alliance,
Johnson City, TN
- NorthCrest Medical Center, Springfield,
TN
- St. Thomas Midtown, Nashville, TN,
& St. Thomas Rutherford, Murfreesboro, TN
- Sumner Regional Medical Center,
Gallatin, TN
- Vanderbilt University Medical Center,
Nashville, TN
- West Tennessee Healthcare, Jackson,
TN
- Williamson Medical Center, Franklin,
TN
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version on businesswire.com: http://www.businesswire.com/news/home/20170329005932/en/
Humana Inc.Kate Marx, 502-271-9288Corporate
Communicationskmarx1@humana.comorVanderbilt Health Affiliated
NetworkJohn Howser, 615-322-4747john.howser@vanderbilt.edu
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