Mercy and Humana Team Up to Expand Access to Virtual Health Services and Coordinated Care
26 February 2021 - 2:00AM
Business Wire
Particularly Important During the COVID-19
Pandemic
Missouri-based Mercy and leading health and well-being company
Humana Inc. (NYSE: HUM) have signed an agreement to expand patient
access to virtual health resources as part of a broader, joint
effort to provide more holistic care to Humana Medicare Advantage
members. These goals are especially vital given the challenges
presented by the COVID-19 pandemic.
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The new initiative offers convenient care options for Humana
Medicare Advantage members who are patients of Mercy’s more than
4,000 integrated primary and specialty care clinicians in Arkansas,
Kansas, Missouri and Oklahoma. Now in effect, the value-based
agreement expands upon Mercy and Humana’s existing network
contract, which continues to provide in-network access at all Mercy
hospitals, outpatient facilities, and physician practices.
Key features of the collaboration include:
- Mercy Virtual: Humana Medicare Advantage members
now have in-network access to this comprehensive virtual resource,
often called a “hospital without beds.” Staffed with more than 300
clinicians, it offers 24/7 care, such as virtual primary care in
the home. Mercy Virtual’s services are an innovative,
patient-centric model that provides care to patients when and where
they require it.
- Value-Based Care: Mercy and Humana have entered
into a contract to provide care that addresses the health of the
whole patient. Payment to Mercy physicians by Humana is linked to
providing quality care in order to improve the patient experience
and health outcomes. This differs from traditional
“fee-for-service” models, by which payment is based on the quantity
of services clinicians provide.
“Mercy is committed to working with our communities to improve
health care while also reducing the total cost of care,” said
Shannon Sock, Mercy executive vice president, chief strategist and
chief financial officer. “Strong payor relationships, like this one
with Humana, will help in our long-term journey to provide more
seamless care for our patients. Together we can make a real
difference for patients, which is especially critical during this
pandemic.”
“This agreement unites two organizations striving to offer care
that is more accessible, personalized and coordinated – a
commitment that is more important than ever right now,” said Jeremy
Gaskill, Humana regional Medicare president. “We’re pleased to
broaden our efforts to improve the health and well-being of people
in the communities we serve by teaming up with Mercy, an
organization that shares our dedication to innovation in health
care.”
Humana has an extensive and growing value-based care presence.
As of Dec. 31, 2020, Humana has more than 2.7 million individual
Medicare Advantage and commercial members who are cared for by more
than 67,000 primary care physicians in more than 1,000 value-based
relationships across 43 states and Puerto Rico. As of January 2021,
Humana’s total Medicare Advantage membership is more than 4.8
million members, which includes members affiliated with providers
in value-based and standard Medicare Advantage settings. For more
information, visit www.humana.com/valuebasedcare.
About Mercy
Mercy, named one of the top five large U.S. health systems for
four consecutive years by IBM Watson Health, serves millions
annually. Mercy is one of the nation’s most highly integrated,
multi-state health care systems, including more than 40 acute care,
managed and specialty (heart, children’s, orthopedic and rehab)
hospitals, convenient urgent care locations, imaging centers and
pharmacies. Mercy has 900 physician practices and outpatient
facilities, more than 4,000 Mercy Clinic physicians and advanced
practitioners and 40,000-plus co-workers serving patients and
families across Arkansas, Kansas, Missouri and Oklahoma. Mercy also
has clinics, outpatient services and outreach ministries in
Arkansas, Louisiana, Mississippi and Texas. In addition, Mercy's IT
division, Mercy Technology Services, and Mercy Virtual commercially
serve providers and patients from coast to coast.
About Humana
Humana Inc. 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 website 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
Additional Information
Other providers are available in our network. Provider may also contract with other plan
sponsors.
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version on businesswire.com: https://www.businesswire.com/news/home/20210225005153/en/
Alissa Krinsky Humana Corporate Communications
akrinsky@humana.com
Bethany Pope Mercy Bethany.Pope@Mercy.Net
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