Humana and Integrated Health Network announce Accountable Care Agreement

Special to The Freeman

March 4, 2015

MILWAUKEE – Humana Inc. and Integrated Health Network of Wisconsin are introducing a three-year Accountable Care Agreement in order to improve seniors’ health and wellness, effective as of Thursday, January 1, 2015.

The agreement will restructure health care delivery to better control costs and increase standards of care for seniors in Wisconsin.

Humana’s Medicare Advantage members will have access to Integrated Health Network’s broad range of facilities and physicians in Wisconsin.

Its integrated network currently includes 42 hospitals, 500 clinics and more than 5,000 physicians spanning northern, central, western and eastern Wisconsin.

The foundation of the new agreement is based upon Humana’s 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 partnership will also offer more personalized care and a broad range of population management tools like predictive analytics, chronic disease management and wellness programs.

The focus will be on care coordination and leveraging measures as defined by the National Committee for Quality Assurance Healthcare Effectiveness Data and Information Set like diabetes care and treatment, breast cancer screenings, colorectal cancer screenings and high-risk medication.