NY Humana Signs Value-Based Agreement for Medicare Advantage Members

October 2017 ~

Humana and Community Care Physicians (CCP) in New York have signed a value-based agreement that will allow in-network access to Humana’s Medicare Advantage members at CCP facilities.

The two companies hope this new partnership will lead to an increase in care value by offering more face time with physicians and personalized care that is tailored to each person’s unique health situation; better 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; upgraded leveraging technologies, such as data analytics; and access to new tools, improved data and access to care support to maximize time spent with patients covered by Humana Medicare Advantage. Reimbursement to physicians based primarily on the health outcomes of their patients rather than the number of services they provide (fee-for-service).

“We’re pleased that this new agreement with Community Care Physicians not only expands our Humana footprint in the Capital District, but it also unites us around our common goal of providing individual-focused care and improving the health of our Humana Medicare Advantage members,” said Humana Northeast Medicare President Alexander Clague.

Under this agreement, Humana’s HMO, PPO, and PFFS Medicare Advantage plan members will gain in-network access to CCP’s 248 primary care and specialty physicians at its 37 practices across the Capital District as well as its five urgent care facilities in Delmar, Niskayuna, North Greenbush, Albany and Latham.

Source(s): Humana; Healthcare Finance; Open Minds; Becker’s Hospital Review;