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Cleveland Clinic and Humana Create Two New $0 Premium Medicare Advantage Health Plans

Agreement Aims to Improve Care Experience in Northeast Ohio

Monday, October 2, 2017 6:00 am EDT

Dateline:

CLEVELAND & LOUISVILLE, Ky.

Public Company Information:

NYSE:
HUM
US4448591028
"By offering broad access to Cleveland Clinic’s extensive resources, our goal is to enable a more seamless, coordinated patient experience and help Ohioans in Cuyahoga County improve their well-being and achieve their best health."

CLEVELAND & LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM), a leading health and well-being company, and Cleveland Clinic have announced the creation of two new $0 premium Medicare Advantage health plans. The Humana Cleveland Clinic Preferred Medicare Plans will offer patient-centered, affordable access to expert doctors, nurses and facilities for people with Medicare in Cuyahoga County.

The collaboration integrates Humana’s Medicare Advantage experience with Cleveland Clinic’s clinical expertise. Together, they combine to offer affordable health plan options to help people with Medicare achieve their best health through a more coordinated member experience. The plans will be offered during this year’s Medicare Advantage and Prescription Drug Plan enrollment period - from October 15 to December 7 – with plan coverage to begin January 1, 2018.

The new offerings include a Medicare Advantage Health Maintenance Organization (HMO) plan for those with Medicare, and a Medicare Advantage Dual-Eligible Special Needs (D-SNP) plan for individuals covered by both Medicare and Medicaid. Both plans offer affordability and accessibility with:

  • $0 monthly premium;
  • $0 primary care physician office visit copay;
  • $0 copay for a 30-day supply of Tier-1 prescription drugs;
  • No referrals required to see in-network specialists.

Plan members will have access to Cleveland Clinic Health System’s more than 3,500 full-time salaried physicians and researchers, representing 140 medical specialties and subspecialties, as well as independent physicians who are part of the Cleveland Clinic Quality Alliance. The Cleveland Clinic Health System includes the Main Campus Hospital and Facilities near downtown Cleveland, 10 regional hospitals and more than 150 outpatient locations in northeastern Ohio - including 18 full-service Family Health Centers and three Health and Wellness Centers.

“We are pleased to work with Humana to offer two new options for Medicare patients in Cuyahoga County,” said Kevin Sears, Executive Director, Cleveland Clinic Market & Network Services. “We look forward to bringing an integrated, patient-centered experience for Medicare Advantage patients that will give them access to quality care to meet their health care needs.”

“We’re delighted to team up with Cleveland Clinic to provide these innovative health plan options specifically tailored for northeast Ohio,” said Larry Costello, President of Humana Senior Products in Ohio. “By offering broad access to Cleveland Clinic’s extensive resources, our goal is to enable a more seamless, coordinated patient experience and help Ohioans in Cuyahoga County improve their well-being and achieve their best health.”

Humana and Cleveland Clinic share a vision to improve specific health metrics in Cuyahoga County associated with quality care. The new Humana Cleveland Clinic Preferred Medicare Plans build upon an existing value-based care agreement between Humana and Cleveland Clinic designed to help people achieve their best health by emphasizing:

  • 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 (watch Humana’s “Better Chronic Management Through Value-Based Care” video);
  • 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 the number of services they provide (fee-for-service).

The Humana Cleveland Clinic Preferred Medicare Plans will complement this value-based care approach in using existing tools, data, and access to care support, to help maximize physician time spent with patients.

For more information about the Humana Cleveland Clinic Preferred Medicare Plans, please visit www.Humana.com/ClevelandClinic.

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States.

U.S. News & World Report consistently names Cleveland Clinic as one of the nation’s best hospitals in its annual “America’s Best Hospitals” survey. Among Cleveland Clinic’s 51,000 employees are more than 3,500 full-time salaried physicians and researchers and 14,000 nurses, representing 140 medical specialties and subspecialties.

Cleveland Clinic’s health system includes a 165-acre main campus near downtown Cleveland, 10 regional hospitals, more than 150 northern Ohio outpatient locations – including 18 full-service family health centers and three health and wellness centers – and locations in Weston, Fla.; Las Vegas, Nev.; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2016, there were 7.1 million outpatient visits, 161,674 hospital admissions and 207,610 surgical cases throughout Cleveland Clinic’s health system. Patients come for treatment from every state and 185 countries. [The provider network of the two Humana Cleveland Clinic Preferred Medicare Advantage plans is limited to Cleveland Clinic’s providers and facilities in Northeast Ohio.]

Visit us at clevelandclinic.org. Follow us at twitter.com/ClevelandClinic. News and resources available at newsroom.clevelandclinic.org.

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 organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal The DE-SNP HMO plan is available to anyone who has both Medical Assistance from the State of Ohio and Medicare. This information is not a complete listing of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits may change on January 1 of each year. Members must continue to pay their Medicare Part B premium. Other ancillary providers such as labs and durable medical equipment suppliers, and pharmacies are available in our network. The provider network may change at any time. Impacted members are notified when necessary.

Contact:

Humana Inc.
Corporate Communications:
Alissa Krinsky, 312-441-5576
akrinsky@humana.com
or
Cleveland Clinic:
Heather Phillips, 216-445-4517
phillih@ccf.org