Humana Medicare Advantage Members Now Have In-Network Access at Eight Additional McLaren Health Care Hospitals in Michigan
August 27 2019 - 10:00AM
Business Wire
Grand Blanc-based McLaren Physician Partners (MPP) and leading
health and well-being company Humana Inc. (NYSE: HUM) have signed
an agreement that expands in-network options for Humana Medicare
Advantage members in Michigan seeking care at McLaren Health Care
hospitals and outpatient facilities.
The contract also provides additional in-network access for
Humana Medicare Advantage members to physicians and clinicians
employed by, and affiliated with, McLaren Health Care in
Michigan.
MPP is a physician hospital organization dedicated to the
creation of a clinically integrated network to drive health care
delivery and includes 14 Michigan hospitals.
The agreement, now in effect, adds in-network access for Humana
Medicare Advantage Health Maintenance Organization (HMO), Preferred
Provider Organization (PPO), and Private Fee-for-Service (PFFS)
health plan members at all McLaren Health Care outpatient
facilities, as well as at eight McLaren Health Care hospitals in
Central and Eastern Michigan:
- Bad Axe: McLaren Thumb Region
- Bay City: McLaren Bay Region and McLaren Bay Special
Care
- Caro: McLaren Caro Region
- Detroit: Karmanos Cancer Institute
- Flint: McLaren Flint
- Lapeer: McLaren Lapeer Region
- Mount Clemens: McLaren Macomb
These options complement six other McLaren Health Care system
hospitals and ambulatory facilities in Michigan previously
contracted as in-network for Humana Medicare Advantage members:
McLaren Clarkston (Clarkston); McLaren Greater Lansing (Lansing);
McLaren Central Michigan (Mt. Pleasant); McLaren Northern Michigan
(Petoskey); McLaren Oakland (Pontiac); McLaren Port Huron (Port
Huron).
Furthermore, this agreement expands in-network access for Humana
Medicare Advantage HMO, PPO, and PFFS members seeking care from
primary and specialty care physicians and other clinicians employed
by, and affiliated with, McLaren Health Care in Michigan. It adds
more than 1,200 providers, for a total now of more than 2,400
McLaren Health Care employed and affiliated providers participating
in Humana’s Medicare networks. The contract also includes a
value-based care agreement with the providers in order to improve
patient outcomes and the patient experience for local Humana HMO
and PPO members.
“We’re very pleased to expand our relationship with McLaren and
deepen our mutual commitment to the health and well-being of
Michiganders,” said Humana Regional Medicare President Kathie
Mancini. “Humana values the opportunity to work with a
locally-owned health system with more than a century of service,
and a shared dedication to improving care quality and health
outcomes.”
The value-based agreement with MPP is in keeping with 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).
Humana has an extensive and growing value-based care presence.
As of June 30, 2019, Humana has approximately 2.3 million
individual Medicare Advantage members and approximately 115,000
commercial members who are cared for by more than 58,000 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 four 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 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 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
Additional Information
Humana is a Medicare Advantage HMO and PPO organization with a
Medicare contract. Enrollment in any Humana plan depends on
contract renewal. Other providers are available in our network. The
provider may contract with other Plans.
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version on businesswire.com: https://www.businesswire.com/news/home/20190827005127/en/
Alissa Krinsky Humana Corporate Communications 312-441-5576
akrinsky@humana.com
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